Individual
ALEXIS TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2331 TEAKWOOD WAY, HANFORD, CA 93230-7229
(559) 816-2439
Mailing address
2331 TEAKWOOD WAY, HANFORD, CA 93230-7229
(559) 816-2439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
083622
IA
235Z00000X
Speech-Language Pathologist
Primary
23491
CA
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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