Active NPIIndividual provider

Alexandra Dyer, CCC-SLP

Speech-Language Pathologist, in Brookline, Massachusetts

NPI Number1194336776
Practice location
68 Harvard St, Brookline, MA 02445-7991
Fax
—
Last updated
August 25, 2020

Alexandra Dyer is a Speech-Language Pathologist, based in Brookline, MA. Alexandra Dyer practices in Brookline, MA and has the professional credentials of CCC-SLP. The NPI Number for Alexandra Dyer is 1194336776 and holds a License No. 77700-SP-SL (MA). The current practice location address for Alexandra Dyer is 68 Harvard St, Brookline, MA 02445-7991 and can be reached out via phone at 617-487-4345.

Provider Profile Details

NPI Number
1194336776
Provider Name
Alexandra Dyer
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
68 Harvard St, Brookline, MA 02445-7991
Phone Number
617-487-4345
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Other Names
Alexandra Gross (Former Name)
Provider Enumeration Date
August 16, 2020
Last Update Date
August 25, 2020
Certification Date
August 25, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
68 Harvard St
Brookline, MA 02445-7991
Zip
02445-7991
Phone Number
617-487-4345
Brookline, MA 02445Get directions →

Provider Business Mailing Address Details

Address
68 Harvard St
Brookline, MA 02445-7991
City
Brookline
State
MA
Zip
02445-7991
Phone Number
617-487-4345

License Information

License Number
77700-SP-SL
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexandra Dyer, CCC-SLP?

The NPI number of Alexandra Dyer, CCC-SLP is 1194336776. It was assigned on August 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Alexandra Dyer, CCC-SLP?

Alexandra Dyer, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 77700-SP-SL.

Where does Alexandra Dyer, CCC-SLP practice?

The practice location is 68 Harvard St, Brookline, MA 02445-7991. The office can be reached at 617-487-4345 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194336776 directly on the NPPES registry website.

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