Provider Demographics
NPI:1225568173
Name:STEWART, ALEXANDRA MAY (AUD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:MAY
Last Name:STEWART
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 1:47101 MAPLEBROOK
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-9285
Mailing Address - Country:US
Mailing Address - Phone:248-982-5551
Mailing Address - Fax:
Practice Address - Street 1:5333 MCAULEY DR RM 2016
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1096
Practice Address - Country:US
Practice Address - Phone:800-851-6672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000773231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist