Individual
MRS. ALEXANDRA HOLMES DEATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1599 TOWNSHIP LINE RD, PLAINFIELD, IN 46168-7517
(317) 914-3176
Mailing address
4972 BEECHWOOD RD, AVON, IN 46123-4615
(812) 243-6113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14230682
GA
235Z00000X
Speech-Language Pathologist
Primary
22007586A
IN
Other
Enumeration date
06/11/2019
Last updated
02/28/2023
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