Individual
ALEXA RENAE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3575 DONALD ST STE 260, EUGENE, OR 97405-4744
(541) 255-6400
Mailing address
3628 N DELTA HWY UNIT 202, EUGENE, OR 97408-1620
(541) 852-6915
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14445739
OR
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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