Individual
ALEXA FANGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18702-3507
(570) 808-3653
(570) 808-3554
Mailing address
25 CHURCH ST, WILKES BARRE, PA 18702-3507
(570) 808-3653
(570) 808-3554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSL002615
PA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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