Provider Demographics
NPI:1598052029
Name:HUEBNER, ALEXANDRA CORINNE (AUD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CORINNE
Last Name:HUEBNER
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 1:710 S BROADWAY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5294
Mailing Address - Country:US
Mailing Address - Phone:925-295-4327
Mailing Address - Fax:925-295-5496
Practice Address - Street 1:710 S BROADWAY
Practice Address - Street 2:SUITE 209
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5294
Practice Address - Country:US
Practice Address - Phone:925-295-4327
Practice Address - Fax:925-295-5496
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2962231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist