Most Relevant Information
Provider Data
| NPI Number: | 1003397662 |
| Provider Name: | ELISSA ALEXANDER M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 1805011 |
Most Important Dates
| Enumeration Date: | 08/22/2018 |
| Last Updated: | 08/22/2018 |
Provider Practice Location
2401 WAYNE MEMORIAL DR
GOLDSBORO
NC
275341727
Practice Location Phone/Fax
| Phone: | 9197362121 |
| Fax: |
Provider Mailing Location
2401 WAYNE MEMORIAL DR
GOLDSBORO
NC
275341727
Provider Mailing Phone/Fax
| Phone: | 9197362121 |
| Fax: |