Alexa Mackenzie Ponick
NPI #1093328577 in Morgantown, West Virginia
Provider Information
- NPI Number
- 1093328577
- Entity Type
- Individual
- Name
- Alexa Mackenzie Ponick
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 25, 2020
- Last Updated
- Aug 3, 2021
Practice Location
- Address
- 6 EDWIN ST
- City
- Morgantown
- State
- West Virginia
- ZIP Code
- 26501-8505
- Phone
- (304) 292-0173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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