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NPI 1053980284

NPI 1053980284 : ALEXANDRA WELSH M.S., CCC-SLP : BETHESDA, MD

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General NPI Number Information
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    NPI Number           |    1053980284
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDRA WELSH M.S., CCC-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2021
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    Last Update Date     |    03/25/2025
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Provider Practice Location Address
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    Address Line         |    4300 MONTGOMERY AVE 
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20814-4412
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    Country              |    US
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    Telephone            |    301-915-4162
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4300 MONTGOMERY AVE STE 303 
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    City                 |    BETHESDA
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    State                |    MD
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    Zip                  |    20814-4461
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    2204000741
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    10768
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    License Number State |    MD
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