Alexis Shawver

Individual provider Active NPI Speech-Language Pathologist · Caledonia, OH

NPI 1194337246 · NPPES record last updated Aug 20, 2020

Key facts

NPI
1194337246
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
197 Brocklesby Rd
Caledonia, OH 43314-9501
Phone
(740) 725-5400
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Local School District Past
since Aug 23, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X OH Yes

Addresses

Primary practice location

197 Brocklesby Rd
Caledonia, OH 43314-9501

Mailing address

2304 Prospect Mount Vernon Rd W
Prospect, OH 43342-7506

Other providers in Caledonia, OH

All providers in Caledonia, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.