Provider Demographics
NPI:1699237438
Name:PINNEY, ALEXA MONIQUE
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:MONIQUE
Last Name:PINNEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E BIRCH ST UNIT 1133
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92822-2054
Mailing Address - Country:US
Mailing Address - Phone:714-494-6252
Mailing Address - Fax:
Practice Address - Street 1:210 W BIRCH ST STE 206
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-4504
Practice Address - Country:US
Practice Address - Phone:714-494-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4998235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty