Provider Demographics
NPI:1174880199
Name:O'DELL, ALEXANDRA L (AUD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:L
Last Name:O'DELL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 SIX FORKS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3838
Mailing Address - Country:US
Mailing Address - Phone:919-876-4327
Mailing Address - Fax:919-876-6800
Practice Address - Street 1:5900 SIX FORKS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3838
Practice Address - Country:US
Practice Address - Phone:919-876-4327
Practice Address - Fax:919-876-6800
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-15
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist