Doctor Name: | MRS. STORMI HOPE ALEXANDER |
NPI Number: | 1568868891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP; BCBA |
License Number: | SLP004510 |
Business Practice Address: | 130 Canal St Pooler, GA - 313224085 |
Business Phone Number: | 9129881444 |
Business Fax Number: | |
Mailing Address: | 292 Joe Ferguson Rd, BAXLEY |
State: | GA |
Postal Code: | 315133509 |
Phone Number: | 9123679181 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2014 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP004510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |