Active NPIIndividual provider

Alexandra Fam, CCC-SLP

Speech-Language Pathologist, in Brookline, Massachusetts

NPI Number1790416097
Practice location
1180 Beacon St Ste 4B, Brookline, MA 02446-3806
Fax
—
Last updated
June 19, 2022

Alexandra Fam is a Speech-Language Pathologist, based in Brookline, MA. Alexandra Fam practices in Brookline, MA and has the professional credentials of CCC-SLP. The NPI Number for Alexandra Fam is 1790416097 and holds a License No. 9951 (MA). The current practice location address for Alexandra Fam is 1180 Beacon St Ste 4B, Brookline, MA 02446-3806 and can be reached out via phone at 508-233-3591.

Provider Profile Details

NPI Number
1790416097
Provider Name
Alexandra Fam
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
1180 Beacon St Ste 4B, Brookline, MA 02446-3806
Phone Number
508-233-3591
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 19, 2022
Last Update Date
June 19, 2022
Certification Date
June 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1180 Beacon St Ste 4B
Brookline, MA 02446-3806
Zip
02446-3806
Phone Number
508-233-3591
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
258 Harvard St # 316
Brookline, MA 02446-2904
City
Brookline
State
MA
Zip
02446-2904

License Information

License Number
9951
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 Fam, CCC-SLP?

The NPI number of Alexandra Fam, CCC-SLP is 1790416097. It was assigned on June 19, 2022 and is currently active in the NPPES registry.

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

Alexandra Fam, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 9951.

Where does Alexandra Fam, CCC-SLP practice?

The practice location is 1180 Beacon St Ste 4B, Brookline, MA 02446-3806. The office can be reached at 508-233-3591 (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 1790416097 directly on the NPPES registry website.

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