Individual
ALEXANDRIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
2120 FOOTHILL BLVD STE 115, LA VERNE, CA 91750-2949
(888) 647-3622
Mailing address
2120 FOOTHILL BLVD STE 115, LA VERNE, CA 91750-2949
(888) 647-3622
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23350
CA
Other
Enumeration date
06/27/2019
Last updated
05/23/2024
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