Provider Demographics
NPI:1598803405
Name:SAAVEDRA, ALEXANDRA H (SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:H
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 NW 174TH TER
Mailing Address - Street 2:#203
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-1111
Mailing Address - Country:US
Mailing Address - Phone:786-281-7266
Mailing Address - Fax:305-819-2770
Practice Address - Street 1:6447 MIAMI LAKES DR. EAST
Practice Address - Street 2:SUITE 105
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-1111
Practice Address - Country:US
Practice Address - Phone:786-281-7266
Practice Address - Fax:305-819-2770
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA7417235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS3081OtherBCBS
FL287313OtherWELLCARE (ATA)
FL4446OtherHUMANA (TRS)
FL2903OtherTHC
FL699013OtherUHC