Provider Demographics
NPI:1235939505
Name:ANDREOZZI, ALEXANDRA JAYNE (RRT, MS, SLP)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JAYNE
Last Name:ANDREOZZI
Suffix:
Gender:
Credentials:RRT, MS, SLP
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:JAYNE
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:100 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1409
Mailing Address - Country:US
Mailing Address - Phone:508-238-1360
Mailing Address - Fax:
Practice Address - Street 1:100 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1409
Practice Address - Country:US
Practice Address - Phone:508-238-1360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MASLP101545235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist