Healthcare Provider Details

I. General information

NPI: 1497601710
Provider Name (Legal Business Name): ALEX HOLDER SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15201 N CENTRAL AVE
PHOENIX AZ
85022-3641
US

IV. Provider business mailing address

15201 N CENTRAL AVE
PHOENIX AZ
85022-3641
US

V. Phone/Fax

Practice location:
  • Phone: 602-502-4397
  • Fax: 602-492-8401
Mailing address:
  • Phone: 602-502-4397
  • Fax: 602-492-8401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA17081
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: