Individual
ALEXA INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
41574 EAGLE POINT WAY, TEMECULA, CA 92591-7948
(760) 408-5059
Mailing address
41574 EAGLE POINT WAY, TEMECULA, CA 92591-7948
(760) 408-5059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11107
CA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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