Individual
ALEXANDRA RAE LERTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
53940 CARMICHAEL DR, SOUTH BEND, IN 46635-1564
(574) 335-6212
(574) 335-0809
Mailing address
53940 CARMICHAEL DR, SOUTH BEND, IN 46635-1564
(574) 335-6212
(574) 335-0809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007598A
IN
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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