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Alexis Megan Axt
Speech-Language Assistant in San Rafael, California
NPI 1083282735

Alexis Megan Axt is a Speech-Language Assistant based in Ventura, CA and is specialized in Speech-Language Assistant. Alexis Megan Axt practices in San Rafael, CA. The NPI Number for Alexis Megan Axt is 1083282735 and holds a License No. 6591 (California).

The current practice location address for Alexis Megan Axt is 4000 Civic Center Dr Ste 100, San Rafael, CA and can be reached out via phone at 628-877-0040.

Location: 4000 Civic Center Dr Ste 100, San Rafael, CA, 93004-1659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083282735
Provider Name
Alexis Megan Axt
Credential
Provider Entity Type
Individual
Gender
Female
Address
4000 Civic Center Dr Ste 100, San Rafael, CA, 93004-1659
Phone Number
628-877-0040
Fax Number
Provider Enumeration Date
06/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4000 Civic Center Dr Ste 100
City
San Rafael
State
California
Zip
94903-4151
Phone Number
628-877-0040
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Civic Center Dr Ste 100
City
San Rafael
State
California
Zip
94903-4151
Phone Number
628-877-0040
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
6591 (California)
Definition
Definition to come...
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