Individual
ALEXA TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
216 N THIRD ST, LOMPOC, CA 93436-6104
(805) 736-3466
Mailing address
7259 S BINGHAM JUNCTION BLVD, MIDVALE, UT 84047-4860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
40203
CA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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