Provider Demographics
NPI:1851668586
Name:KREIMER, ALEXANDRA ROSALYN (MA SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:ROSALYN
Last Name:KREIMER
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:MS
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:KREIMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6565 WETHEROLE ST
Mailing Address - Street 2:APT 4E
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4764
Mailing Address - Country:US
Mailing Address - Phone:516-316-2691
Mailing Address - Fax:
Practice Address - Street 1:6565 WETHEROLE ST
Practice Address - Street 2:APT 4E
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4764
Practice Address - Country:US
Practice Address - Phone:516-316-2691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist