Provider Demographics
NPI:1689641714
Name:SILANCE, ALEXANDRIA STEPHANIE (MS)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:STEPHANIE
Last Name:SILANCE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:STEPHANIE
Other - Last Name:COUTROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:215 SHUMAN BLVD
Mailing Address - Street 2:401
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8458
Mailing Address - Country:US
Mailing Address - Phone:630-303-5380
Mailing Address - Fax:978-313-6824
Practice Address - Street 1:3257 W 20TH ST
Practice Address - Street 2:STE 11-13
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-6550
Practice Address - Country:US
Practice Address - Phone:970-352-3309
Practice Address - Fax:970-352-3309
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1929231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist