Provider Demographics
NPI:1891054284
Name:BRUTTON, ALEJANDRA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:BRUTTON
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 WOODLEY RD NW
Mailing Address - Street 2:APT 528
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-4116
Mailing Address - Country:US
Mailing Address - Phone:954-599-8136
Mailing Address - Fax:
Practice Address - Street 1:1250 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-2603
Practice Address - Country:US
Practice Address - Phone:202-675-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLP000505235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist