MEDICARE: MS. STEPFANIE ALEXANDER M.S., 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
1	235Z00000X	Speech-Language Pathologist	108251	TX

General Provider Information

NPI Number	:	1073929253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPFANIE ALEXANDER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	539 W COMMERCE ST STE 2986
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-1953
Country	:	US
Telephone Number	:	304-935-5129
Fax Number	:

Provider Business Practice Location Address
First Line	:	539 W COMMERCE ST STE 2986
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-1953
Country	:	US
Telephone Number	:	304-935-5129
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2014
Last Update Date	:	05/14/2021

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Directions to “ MS. STEPFANIE ALEXANDER M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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