Individual
MR. ALEXANDER STEELE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.ED. CCC-SLP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4744 41ST AVE SW APT 116, SEATTLE, WA 98116-4535
(518) 227-4016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
027884-1
NY
235Z00000X
Speech-Language Pathologist
Primary
LL60938424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027884-1
NYS SPEECH-LANGUAGE PATHOLOGY LICENSE
NY
01
—
LL60938424
SPEECH LANGUAGE PATHOLOGIST LICENSE
WA
Enumeration date
08/09/2018
Last updated
01/06/2020
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