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NPI Code Detail

MEDICARE: HEATHER ALEXANDER CCC SLP

MEDICARE:   HEATHER  ALEXANDER  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 PathologistMD

General Provider Information

NPI Number : 1598023889
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER ALEXANDER CCC SLP
Provider Business Mailing Address
First Line : 411 CAMINO DEL RIO S STE 101
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3508
Country : US
Telephone Number : 619-574-8181
Fax Number : 619-574-0802
Provider Business Practice Location Address
First Line : 411 CAMINO DEL RIO S STE 101
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3508
Country : US
Telephone Number : 619-574-8181
Fax Number : 619-574-0802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2012
Last Update Date : 09/11/2025

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Directions to “ HEATHER ALEXANDER CCC SLP” Practice Location

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