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Individual

ALEXANDRA FAY IRR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP/L

Contact information

Practice address
153 BRODHEAD RD, BETHLEHEM, PA 18017-8931
(484) 526-6578
Mailing address
2793 MILAN ST, EASTON, PA 18045-5800
(484) 764-9192

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL014543
PA

Other

Enumeration date
01/22/2020
Last updated
01/22/2020
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