Provider Demographics
NPI:1740670843
Name:SANTORI, ALEXA MARIE (MS)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:MARIE
Last Name:SANTORI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 HARMONY FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-3110
Mailing Address - Country:US
Mailing Address - Phone:724-984-0580
Mailing Address - Fax:
Practice Address - Street 1:808 HARMONY FISHER AVE
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-3110
Practice Address - Country:US
Practice Address - Phone:954-331-1831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7021235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist