Individual
ALEXANDRA M QUANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
240 E 59TH ST, NEW YORK, NY 10022-1838
(646) 962-7464
Mailing address
240 E 59TH ST FL 2, NEW YORK, NY 10022-1838
(646) 962-7464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031222
LICENSE
NY
01
—
LL61093902
LICENSE
WA
Enumeration date
04/19/2021
Last updated
07/13/2023
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