Individual
ALEX ENSCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
564 OAKLAND AVE APT 11, OAKLAND, CA 94611-5049
(510) 335-5005
Mailing address
564 OAKLAND AVE APT 11, OAKLAND, CA 94611-5049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP31551
CA
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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