Provider Demographics
NPI:1447634688
Name:MULIERI, ALEXA (MS CCC- SLP)
Entity type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:
Last Name:MULIERI
Suffix:
Gender:F
Credentials:MS CCC- SLP
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:MARIE
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:709 CHAPEL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-1807
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 INTERNATIONAL CIR
Practice Address - Street 2:
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-1300
Practice Address - Country:US
Practice Address - Phone:201-669-8768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01111L235Z00000X
MD08127235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1447634688Medicaid