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NPI Code Detail

MEDICARE: ALEXANDRA KRETSINGER

MEDICARE:   ALEXANDRA  KRETSINGER
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 PathologistSC

General Provider Information

NPI Number : 1962341123
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA KRETSINGER
Provider Business Mailing Address
First Line : 1178 VILLAGE CREEK LN APT 2
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-6163
Country : US
Telephone Number : 816-728-3766
Fax Number :
Provider Business Practice Location Address
First Line : 672 MARINA DR STE 104
Second Line :
City : CHARLESTON
State : SC
Zip : 29492-9084
Country : US
Telephone Number : 816-728-3766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ ALEXANDRA KRETSINGER ” Practice Location

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