Healthcare Provider Details

I. General information

NPI: 1215774062
Provider Name (Legal Business Name): ALEXA ANNE GUZZI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 07/10/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 MEADOWOOD DRIVE
LANGHORNE PA
19047
US

IV. Provider business mailing address

40 MARTIN GROSS DR
LANGHORNE PA
19047-1616
US

V. Phone/Fax

Practice location:
  • Phone: 215-750-4007
  • Fax:
Mailing address:
  • Phone: 215-750-4007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: