Provider Demographics
NPI:1205404654
Name:MURRAY, ALEXANDRA ELIZABETH (AUD)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:ELIZABETH
Last Name:MURRAY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:ALEXANDRA
Other - Middle Name:ELIZABETH
Other - Last Name:ZORBACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:938 NATIONAL HWY
Mailing Address - Street 2:
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502
Mailing Address - Country:US
Mailing Address - Phone:301-729-1635
Mailing Address - Fax:301-729-1697
Practice Address - Street 1:938 NATIONAL HWY
Practice Address - Street 2:
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502
Practice Address - Country:US
Practice Address - Phone:301-729-1635
Practice Address - Fax:301-729-1697
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01553231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD309170800Medicaid