Individual
ALEXANDRA MADELINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
7320 N PALMYRA RD, CANFIELD, OH 44406-9709
(330) 533-8755
Mailing address
7320 N PALMYRA RD, CANFIELD, OH 44406-9709
(330) 533-8755
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11398
OH
235Z00000X
Speech-Language Pathologist
COND.2013240
OH
Other
Enumeration date
02/05/2014
Last updated
07/21/2022
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