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NPI Code Detail

MEDICARE: ALEXANDRA PEARL M.A. CCC-SLP

MEDICARE:   ALEXANDRA  PEARL  M.A. 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.13597OH

General Provider Information

NPI Number : 1841841988
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA PEARL M.A. CCC-SLP
Provider Business Mailing Address
First Line : 4300 BAYARD RD
Second Line :
City : SOUTH EUCLID
State : OH
Zip : 44121-3124
Country : US
Telephone Number : 216-691-2200
Fax Number :
Provider Business Practice Location Address
First Line : 4300 BAYARD RD
Second Line :
City : SOUTH EUCLID
State : OH
Zip : 44121-3124
Country : US
Telephone Number : 216-691-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2019
Last Update Date : 01/11/2026

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Directions to “ ALEXANDRA PEARL M.A. CCC-SLP” Practice Location

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