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Contact Information

MENIOLLENNE ALEXIS
4613 PHILIPS HWY STE 209
JACKSONVILLE, FL32207-7290
 Phone: 904-701-3512
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MENIOLLENNE ALEXIS · (Female)

NPI # 1548739840
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2018
Last updated 11/15/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SA15637
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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