Individual
MISS ALEXANDRA SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
228 KING ST STE 2, NORTHAMPTON, MA 01060-2364
(413) 727-8552
Mailing address
495 DERBY MILFORD RD, ORANGE, CT 06477-2722
(203) 499-8439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
006969
CT
235Z00000X
Speech-Language Pathologist
77000
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006969
CT LICENSURE-SLP
CT
01
—
14259865
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
—
Enumeration date
06/28/2019
Last updated
12/11/2022
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