MEDICARE: ALEXIS GODDEN

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

General Provider Information

NPI Number	:	1427988617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS GODDEN

Provider Business Mailing Address
First Line	:	2600 W MILL RD
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-3212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 W MILL RD
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-3212
Country	:	US
Telephone Number	:	414-351-7190
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ ALEXIS GODDEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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