Healthcare Provider Details

I. General information

NPI: 1972268100
Provider Name (Legal Business Name): ALEXANDRA DANIELLE BIZZARRI SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 N ARIZONA AVE STE 105
CHANDLER AZ
85225-7122
US

IV. Provider business mailing address

5636 E AZURE HILLS DR
CAVE CREEK AZ
85331-8124
US

V. Phone/Fax

Practice location:
  • Phone: 480-365-9981
  • Fax:
Mailing address:
  • Phone: 602-509-6986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP17859
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: