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Individual

ALEXIS R PEAVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
Mailing address
3280 PICKETT RD, MADISON, NY 13402-9754
(315) 825-5591

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1623089
NY

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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