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NPI Code Detail

MEDICARE: ALEXA SIMPSON M.A. CCC-SLP

MEDICARE:   ALEXA  SIMPSON  M.A. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist114407TX

General Provider Information

NPI Number : 1174289821
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA SIMPSON M.A. CCC-SLP
Provider Business Mailing Address
First Line : 321 ARGO AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-5114
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 321 ARGO AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-5114
Country : US
Telephone Number : 510-847-8758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2021
Last Update Date : 11/16/2021

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Directions to “ ALEXA SIMPSON M.A. CCC-SLP” Practice Location

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