Individual
ALEXANDRA E HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
7133 165TH ST, FRESH MEADOWS, NY 11365-4225
(347) 426-8625
Mailing address
7133 165TH ST, FRESH MEADOWS, NY 11365-4225
(347) 426-8625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/27/2015
Last updated
08/28/2016
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