Provider Demographics
NPI:1447922497
Name:PERRY, ALEXA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 WARRENSVILLE CENTER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5226
Mailing Address - Country:US
Mailing Address - Phone:419-677-1403
Mailing Address - Fax:865-769-0801
Practice Address - Street 1:3570 WARRENSVILLE CENTER RD STE 106
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5226
Practice Address - Country:US
Practice Address - Phone:419-677-1403
Practice Address - Fax:865-769-0801
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7616235Z00000X
OH16183235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist