Individual provider · NPI-1
Kerry Alexander
Speech-Language Pathologist, · Fort Collins, CO
NPI number1720115967
StatusActive
Last updated in NPPESDec 1, 2023
Details
- NPI
- 1720115967
- Entity type
- Individual (NPI-1)
- Name
- Kerry Alexander
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2007
- Certification date
- Dec 1, 2023
- Last updated
- Dec 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 3592 | NM | Yes |
Practice location
2407 Laporte AveFort Collins, CO 80521-2211
Phone 970-490-3067
Mailing address
1149 Toscana Rd SeRio Rancho, NM 87124-8786
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