Individual
MS. ALEXA LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
531 E 78TH ST APT 3H, NEW YORK, NY 10075-1176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
035610
NY
Other
Enumeration date
09/09/2025
Last updated
10/24/2025
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