Alexandra Acheson
Individual provider Active NPI Speech-Language Pathologist · Ridgeland, SC
NPI 1952759656 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1952759656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5990 (SC)
- Practice address
- 118 Glenwater Dr
Apt 204
Ridgeland, SC 29936-3149 - Phone
- (954) 552-0076
- NPI assigned
- Jun 3, 2016
- 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 |
|---|---|---|---|
| 5990 | SC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5990 | SC | Yes |
Addresses
Primary practice location
118 Glenwater Dr
Apt 204
Ridgeland, SC 29936-3149
Mailing address
118 Glenwater Dr
Apt 204
Ridgeland, SC 29936-3149
Phone (954) 552-0076
Other providers in Ridgeland, SC
- 1516 Grays Highway SC Opco LLC
- 4Ola Health Solutions, LLC
- Romeo Saclolo Abangan Jr.
- Active SC Two, Inc.
- Emanuel Mannie Alston Jr.
- Altea Medical South Carolina LLC
- Anna Angelo
- Fredericka Armstrong
All providers in Ridgeland, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. 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.