Individual
MS. ALEXIS MARIE HETHERINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
318 S. ORANGE ST., MEDIA, PA 19063
(610) 566-1400
Mailing address
318 S. ORANGE ST., MEDIA, PA 19063
(610) 566-1400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015505
PA
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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