Most Relevant Information
Provider Data
| NPI Number: | 1003292210 |
| Provider Name: | ALEXANDREA FUNSTON M.S. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 14087640 |
Most Important Dates
| Enumeration Date: | 08/11/2015 |
| Last Updated: | 08/11/2015 |
Provider Practice Location
224 E BLOSSOM DRIVE
MIDWEST CITY
OK
73110
Practice Location Phone/Fax
| Phone: | 4058226627 |
| Fax: |
Provider Mailing Location
224 E BLOSSOM DR
MIDWEST CITY
OK
731103454
Provider Mailing Phone/Fax
| Phone: | 4058226627 |
| Fax: |