Individual
MRS. ALEXIS BLAKE CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4400 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3189
(219) 879-6115
Mailing address
2740 RYAN PLACE DR, FORT WORTH, TX 76110-3125
(817) 996-4538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22009338A
IN
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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