Individual
ALEXANDRA R ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
555 E BLEDSOE ST, GALLATIN, TN 37066-3003
(615) 452-7132
Mailing address
314 LINDSEY HOLLOW RD, GALLATIN, TN 37066-8209
(951) 295-1061
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6659
TN
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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