MEDICARE: ALEXANDRA MARY WOOD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	26490	CA

General Provider Information

NPI Number	:	1952877672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA MARY WOOD

Provider Business Mailing Address
First Line	:	852 N LIMA ST
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2927
Country	:	US
Telephone Number	:	818-395-7405
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 S HUDSON AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-3599
Country	:	US
Telephone Number	:	626-396-3600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2018
Last Update Date	:	05/26/2026

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Directions to “ ALEXANDRA MARY WOOD ” Practice Location

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