Provider Demographics
NPI:1194122846
Name:RAKOWSKI, ALEXANDRIA (MS)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:RAKOWSKI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:LEX
Other - Middle Name:
Other - Last Name:RAKOWSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:734 S GOLDEN KEY ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-7219
Mailing Address - Country:US
Mailing Address - Phone:480-262-3326
Mailing Address - Fax:
Practice Address - Street 1:734 S GOLDEN KEY ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-7219
Practice Address - Country:US
Practice Address - Phone:480-262-3326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist