Individual
GRETA ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
261 WHITLEY TRAIL SUBD, LONDON, KY 40744-9440
(606) 682-9579
Mailing address
261 WHITLEY TRAIL SUBD, LONDON, KY 40744-9440
(606) 682-9579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3218
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100385960
—
KY
01
—
K147701
MEDICARE
KY
Enumeration date
12/02/2015
Last updated
08/01/2016
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