Individual
ALEXA L MACINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
340 TURNPIKE ST STE 1-3A, CANTON, MA 02021-2700
(781) 619-1500
Mailing address
340 TURNPIKE ST, CANTON, MA 02021-2700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
78076-SP-SL
MA
Other
Enumeration date
06/09/2021
Last updated
02/25/2022
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