Healthcare Provider Details

I. General information

NPI: 1467362640
Provider Name (Legal Business Name): ALEXANDRA SHOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19501 E MAINSTREET STE 200
PARKER CO
80138-7408
US

IV. Provider business mailing address

336 N GRANT ST APT 404
DENVER CO
80203-4068
US

V. Phone/Fax

Practice location:
  • Phone: 303-479-3633
  • Fax:
Mailing address:
  • Phone: 415-250-3253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0007028
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: