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NPI Code Detail

MEDICARE: MS. JAMIE ALEXANDER MA CCC-SLP

MEDICARE: MS. JAMIE ALEXANDER MA 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 PathologistSP. 10913OH

General Provider Information

NPI Number : 1073914982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAMIE ALEXANDER MA CCC-SLP
Provider Business Mailing Address
First Line : 9464 US HIGHWAY 36
Second Line :
City : SAINT PARIS
State : OH
Zip : 43072-9367
Country : US
Telephone Number : 937-663-4449
Fax Number : 937-663-0257
Provider Business Practice Location Address
First Line : 9464 US HIGHWAY 36
Second Line :
City : SAINT PARIS
State : OH
Zip : 43072-9367
Country : US
Telephone Number : 937-663-4449
Fax Number : 937-663-0257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2014
Last Update Date : 09/10/2014

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