Kelli Marie Alexander, SLP
Individual provider Active NPI Speech-Language Pathologist · Greenville, PA
NPI 1639467665 · NPPES record last updated Jul 12, 2011
Key facts
- NPI
- 1639467665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL009761 (PA)
- Practice address
- 339 E Jamestown Rd
Greenville, PA 16125-9206 - Phone
- (724) 588-7613
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL009761 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL009761 | PA | Yes |
Addresses
Primary practice location
339 E Jamestown Rd
Greenville, PA 16125-9206
Mailing address
339 E Jamestown Rd
Greenville, PA 16125-9206
Phone (724) 588-7613
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All providers in Greenville, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2011. 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.