Healthcare Provider Details

I. General information

NPI: 1720916166
Provider Name (Legal Business Name): ALEXANDRA BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 MONROE ST
SYLVANIA OH
43560-2767
US

IV. Provider business mailing address

5435 STATE ROUTE 218
GALLIPOLIS OH
45631-8912
US

V. Phone/Fax

Practice location:
  • Phone: 567-585-0001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: