Individual
ALEXA HAZEL KOLIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
141 TROUT AVE, GROTON, CT 06349
(860) 694-2453
Mailing address
512 CHAPEL ST APT 1R, NEW HAVEN, CT 06511-7409
(847) 809-8092
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
17.000662
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14382182
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
—
01
—
17.000662
DEPARTMENT OF PUBLIC HEALTH PRACTITIONER LICENSING AND INVESTIGATIONS SECTION
CT
Enumeration date
03/18/2022
Last updated
03/18/2022
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