NPI Code Details Logo

NPI 1780468892

NPI 1780468892 : ALEXANDRA SKORNIA SLP : SUNRISE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1780468892
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALEXANDRA SKORNIA SLP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/21/2023
-----------------------------------------------------
    Last Update Date     |    04/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    14201 W SUNRISE BLVD STE 107 
-----------------------------------------------------
    City                 |    SUNRISE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33323-3207
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-756-2818
-----------------------------------------------------
    Fax                  |    954-514-1126
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6604 S ANISE CT 
-----------------------------------------------------
    City                 |    DAVIE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33314-3918
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    954-678-7392
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    SA22780
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.