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Individual

ALEXIS KRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
1333 GATEWAY DR STE 1014, MELBOURNE, FL 32901-2647
(321) 432-2572
Mailing address
880 SPILLER ST, MELBOURNE, FL 32935-5014
(321) 474-2871

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA18475
FL
235Z00000X
Speech-Language Pathologist
SZ9195
FL
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
08/09/2019
Last updated
05/25/2022
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