Provider Demographics
NPI:1073557054
Name:DUNN, ALEXANDRA (AUD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 406153
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-1876
Mailing Address - Country:US
Mailing Address - Phone:561-478-8770
Mailing Address - Fax:561-688-8877
Practice Address - Street 1:3251 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 424
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:561-451-3626
Practice Address - Fax:561-451-0569
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1171231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4899721OtherGHI
FL600396600Medicaid
FL600396600Medicaid
FLB1791YMedicare PIN