Individual provider · NPI-1
Alexandra Ammons, SLP
Speech-Language Pathologist, · Knoxville, TN
NPI number1710644737
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1710644737
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Ammons
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 24, 2021
- Certification date
- Apr 29, 2025
- Last updated
- Apr 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 9118 | TN | Yes |
| 235Z00000X | Speech-Language Pathologist, | SA18453 | FL |
Practice location
310 Corporate DrKnoxville, TN 37923-4638
Phone 865-693-5622
Mailing address
310 Corporate Dr Ste 101Knoxville, TN 37923-4638
Phone 865-693-5622
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