Doctor Name: | ALEXA WHITTEN-EISENMAN |
NPI Number: | 1407098312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 10823 |
Business Practice Address: | 96 W Main St Suite B Woodland, CA - 956953016 |
Business Phone Number: | 5306681010 |
Business Fax Number: | |
Mailing Address: | 5613 Hoag Pl, DAVIS |
State: | CA |
Postal Code: | 956187208 |
Phone Number: | 5302315070 |
Fax Number: | |
NPI Enumeration Date: | 03/25/2009 |
NPI Last Update Date: | 03/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |