Provider Demographics
NPI:1326714320
Name:WOLFF, ALEXANDRA JAYNE (SLP-CCC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JAYNE
Last Name:WOLFF
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 HUNGERFORD DR STE 18A
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1751
Mailing Address - Country:US
Mailing Address - Phone:301-327-4434
Mailing Address - Fax:
Practice Address - Street 1:932 HUNGERFORD DR STE 18A
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1751
Practice Address - Country:US
Practice Address - Phone:301-327-4434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02381L235Z00000X
MD10224235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist