Individual
ALEXANDRIA CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1371 YMCA DR, FESTUS, MO 63028-2617
(636) 465-0726
Mailing address
265 GREEN JADE ESTATES DR, FENTON, MO 63026-6513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2016022730
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
460114278
—
MO
Enumeration date
08/06/2018
Last updated
06/01/2023
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