Individual
ALEXANDRA LYNN CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8 LIGHTHOUSE DR, WATERFORD, NY 12188-1163
(518) 396-8539
Mailing address
8 LIGHTHOUSE DR, WATERFORD, NY 12188-1163
(518) 396-8539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
025525-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00025525-1
—
NY
Enumeration date
04/11/2016
Last updated
01/18/2024
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