Provider Demographics
NPI:1396316170
Name:ALEXANDER, KERRY ANNE
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:ANNE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MARTINS LNDG APT 211
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2069
Mailing Address - Country:US
Mailing Address - Phone:339-440-6393
Mailing Address - Fax:
Practice Address - Street 1:386 MERRIMACK ST STE 2D
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5886
Practice Address - Country:US
Practice Address - Phone:978-965-5089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist