Individual
EDWYNA I ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4001 OFFICE CT, SUITE 305, SANTA FE, NM 87507-4929
(505) 466-7710
(505) 466-7714
Mailing address
4001 OFFICE CT, SUITE 305, SANTA FE, NM 87507-4929
(505) 466-7710
(505) 466-7714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4288
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16424
STATE BOARD
TX
01
—
4288
NEW MEXICO REGULATING & LICENSING DEPARTMENT
NM
01
—
89044T
BCBS
TX
Enumeration date
09/20/2006
Last updated
05/27/2008
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