MEDICARE: ALEXANDRA NOVOA CF-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	117550	TX

General Provider Information

NPI Number	:	1174110324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA NOVOA CF-SLP

Provider Business Mailing Address
First Line	:	4609 BARNHILL LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-2533
Country	:	US
Telephone Number	:	817-962-7302
Fax Number	:

Provider Business Practice Location Address
First Line	:	12400 PRESTON RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-1866
Country	:	US
Telephone Number	:	972-661-3111
Fax Number	:

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

Provider Enumeration Date	:	12/22/2020
Last Update Date	:	06/04/2026

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Directions to “ ALEXANDRA NOVOA CF-SLP” Practice Location

Language	Start Address	Practice Location

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