Most Relevant Information
Provider Data
| NPI Number: | 1003377441 |
| Provider Name: | ALEXIS SANDS MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2019 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
6501 N SHERIDAN RD
PEORIA
IL
616142932
Practice Location Phone/Fax
| Phone: | 3096214111 |
| Fax: |
Provider Mailing Location
4913 N RONALD RD
PEORIA
IL
616144519
Provider Mailing Phone/Fax
| Phone: | 3095300116 |
| Fax: |