Provider Demographics
NPI:1598020810
Name:FERNANDEZ, ALEJANDRA MARIA (MA,CCC,SLP)
Entity type:Individual
Prefix:MRS
First Name:ALEJANDRA
Middle Name:MARIA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:MA,CCC,SLP
Other - Prefix:MRS
Other - First Name:ALEJANDRA
Other - Middle Name:MARIA
Other - Last Name:VELASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3896 HAMMOCK BLUFF DRIVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32226
Mailing Address - Country:US
Mailing Address - Phone:786-262-3708
Mailing Address - Fax:
Practice Address - Street 1:3896 HAMMOCK BLUFF DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32226-4602
Practice Address - Country:US
Practice Address - Phone:786-262-3708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2025-09-17
Deactivation Date:2025-01-08
Deactivation Code:
Reactivation Date:2025-09-15
Provider Licenses
StateLicense IDTaxonomies
FLSA15605235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist