Most Relevant Information
Provider Data
| NPI Number: | 1003349218 |
| Provider Name: | ALEXIS SANDERS CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 12301 |
Most Important Dates
| Enumeration Date: | 04/05/2017 |
| Last Updated: | 04/05/2017 |
Provider Practice Location
1660 E BOOKER DAIRY RD
SMITHFIELD
NC
275779405
Practice Location Phone/Fax
| Phone: | 9199383824 |
| Fax: |
Provider Mailing Location
1660 E BOOKER DAIRY RD
SMITHFIELD
NC
275779405
Provider Mailing Phone/Fax
| Phone: | 9199383824 |
| Fax: |