Individual
MISS BEVERLY JANICE ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
177 KINGSTON AVE, APT. 4B, BROOKLYN, NY 11213-2001
(718) 508-2142
Mailing address
177 KINGSTON AVE, APT. 4B, BROOKLYN, NY 11213-2001
(718) 508-2142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004325
WA
Other
Enumeration date
05/14/2007
Last updated
07/17/2007
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