Individual
ALEXANDREA FUNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
224 E BLOSSOM DRIVE, MIDWEST CITY, OK 73110
(405) 822-6627
Mailing address
224 E BLOSSOM DR, MIDWEST CITY, OK 73110-3454
(405) 822-6627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14087640
OK
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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