Individual
HALSTON ALEXIS LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
3396 N 1150 W, DELPHI, IN 46923-9276
(574) 870-2790
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14469913
IN
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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