Alex Antonio Bell, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Dublin, GA
NPI 1104494004 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1104494004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP011014 (GA)
- Practice address
- 806 N Jefferson St
Dublin, GA 31021-6306 - Phone
- (478) 275-8844
- NPI assigned
- Jun 16, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP011014 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP011014 | GA | Yes |
Addresses
Primary practice location
806 N Jefferson St
Dublin, GA 31021-6306
Mailing address
2356 Bellyard Dr
Buford, GA 30519-4686
Phone (478) 278-9217
Other providers in Dublin, GA
- Carl O Bedingfield
- James Andrew Bedingfield Jr.
- Hope Bedoya
- Behavioral Counseling and Intervention Management, LLC
- Behavioral Health of Middle Georgia, LLC
- Vaughn Thomas Bell Jr.
- Cynthia A. Bellflower
- Janice Leigh Anne Bennett
- Maurine Wilcox Bennett
- Paulette Bennett
All providers in Dublin, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.