Individual
ALEXIS JOCELYN ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Mailing address
3060 FRONTIER WAY S, FARGO, ND 58104-8909
(701) 232-2340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1731
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477997
—
ND
Enumeration date
07/22/2019
Last updated
10/08/2025
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