Individual
ALEXANDRA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 NE 3RD ST, AVA, MO 65608
(417) 827-9137
Mailing address
1001 E UNIVERSITY ST, SPRINGFIELD, MO 65807-2068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020012180
MO
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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