Individual
ALEXANDRA CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
1114 S WALL ST, CALHOUN, GA 30701-3062
(706) 624-3000
(706) 624-3001
Mailing address
1114 S WALL ST, CALHOUN, GA 30701-3062
(706) 624-3000
(706) 624-3001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP012383
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP012383
SPEECH-LANGUAGE PATHOLOGIST LICENSE
GA
Enumeration date
11/07/2022
Last updated
11/07/2022
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