Individual
MS. ALEXANDRA KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
29 TURTLE POND RD, SOUTHAMPTON, NY 11968-1639
(631) 730-3913
Mailing address
29 TURTLE POND RD, SOUTHAMPTON, NY 11968-1639
(631) 730-3913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011174-1
NY
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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