Individual
ALEXANDRA MAYA PAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9218
(623) 242-6908
Mailing address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP11006
AZ
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11006
UNITED HEALTHCARE
AZ
Enumeration date
03/03/2018
Last updated
03/03/2018
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