Alexandria Green, MS, SLP
Speech-Language Pathologist, in La Verne, CA. Individual provider (NPI-1).
NPI number1164083200
StatusActive
Last updated in NPPESMay 23, 2024
Details
- NPI
- 1164083200
- Entity type
- Individual (NPI-1)
- Name
- Alexandria Green
- Credential
- MS, SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2019
- Certification date
- May 23, 2024
- Last updated
- May 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 23350 | CA | Yes |
Practice location
2120 Foothill Blvd Ste 115La Verne, CA 91750-2949
Phone 888-647-3622
Mailing address
2120 Foothill Blvd Ste 115La Verne, CA 91750-2949
Phone 888-647-3622
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All 13 Speech-Language Pathologist providers in La Verne · All 659 providers in La Verne
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