Alexandra Rae Lertola, M.S. CCC-SLP
NPI #1467068403 in South Bend, Indiana
Provider Information
- NPI Number
- 1467068403
- Entity Type
- Individual
- Name
- Alexandra Rae Lertola, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Sep 16, 2020
- Last Updated
- Sep 16, 2020
Practice Location
- Address
- 53940 CARMICHAEL DR
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46635-1564
- Phone
- (574) 335-6212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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