Provider Demographics
NPI:1801159595
Name:SCHWED, ALEXANDRA (MA SLP)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:SCHWED
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 BOLTON RD
Mailing Address - Street 2:FLOOR #2 SIDE DOOR
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4813
Mailing Address - Country:US
Mailing Address - Phone:732-939-4200
Mailing Address - Fax:
Practice Address - Street 1:715 BOLTON RD
Practice Address - Street 2:FLOOR #2 SIDE DOOR
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4813
Practice Address - Country:US
Practice Address - Phone:732-939-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist