# ALEXANDRA MADELINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265856751
- **Gender:** F
- **Credential:** MA CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 11398 | OH | Yes |
| 235Z00000X | Speech-Language Pathologist | COND.2013240 | OH | — |

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 07/21/2022
