Provider Demographics
NPI:1386356095
Name:ALEXANDRE, SARAHBETH (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:SARAHBETH
Middle Name:
Last Name:ALEXANDRE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 ASHLEY DR
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-2431
Mailing Address - Country:US
Mailing Address - Phone:516-602-8960
Mailing Address - Fax:
Practice Address - Street 1:1107 ASHLEY DR
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-2431
Practice Address - Country:US
Practice Address - Phone:516-602-8960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031728-01235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist