Shannon Alexander
Individual provider Active NPI Speech-Language Pathologist · Phoenix, AZ
NPI 1891349528 · NPPES record last updated Jul 31, 2019
Key facts
- NPI
- 1891349528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- TSLP11832 (AZ)
- Practice address
- 32150 N North Foothills Dr
Phoenix, AZ 85085-8100 - Phone
- (623) 445-8400
- NPI assigned
- Jul 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| TSLP11832 | AZ | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TSLP11832 | AZ | Yes |
Addresses
Primary practice location
32150 N North Foothills Dr
Phoenix, AZ 85085-8100
Mailing address
32150 N North Foothills Dr
Phoenix, AZ 85085-8100
Other providers in Phoenix, AZ
- Jasmin Alexander
- Jennifer Anne Alexander
- Micah Alexander
- Sally Ann Alexander
- Scott F Alexander
- Veronica Alexander
- William Tyler Alexander
- Karsten Alexandria
- Nadejda Alexandrova
- Alexicom Tech LLC
All providers in Phoenix, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2019. 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.