Individual
ALEXANDRA KUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(813) 653-1149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14031
FL
235Z00000X
Speech-Language Pathologist
SLP000908
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015808200
—
FL
05
—
019127400
—
FL
Enumeration date
08/11/2015
Last updated
11/15/2016
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