Provider Demographics
NPI:1508458332
Name:WALKER, ALEXANDRA (AUD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:
Last Name:WALKER
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 1:110 CORNING RD STE 2600
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9229
Mailing Address - Country:US
Mailing Address - Phone:919-694-8153
Mailing Address - Fax:919-694-7767
Practice Address - Street 1:110 CORNING RD STE 2600
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-9229
Practice Address - Country:US
Practice Address - Phone:919-694-8153
Practice Address - Fax:919-694-7767
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-03
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15090231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist