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Alexandra Papanicolaou, Au.D.

Audiologist in Shady Side, MD. Individual provider (NPI-1).

NPI number1609697309
StatusActive
Last updated in NPPESOct 24, 2024

Details

NPI
1609697309
Entity type
Individual (NPI-1)
Name
Alexandra Papanicolaou
Credential
Au.D.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2024
Certification date
Oct 24, 2024
Last updated
Oct 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist01693MDYes

Practice location

6318 Shady Side Rd
Shady Side, MD 20764-3101

Phone 240-593-2578

Mailing address

6318 Shady Side Rd
Shady Side, MD 20764-3101

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