Provider Demographics
NPI:1083237127
Name:ACCARDO, ALEXA RACHAL (MCD, CF-SLP)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:RACHAL
Last Name:ACCARDO
Suffix:
Gender:F
Credentials:MCD, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 JANICE AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3339
Mailing Address - Country:US
Mailing Address - Phone:504-417-0838
Mailing Address - Fax:
Practice Address - Street 1:4704 JANICE AVE
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3339
Practice Address - Country:US
Practice Address - Phone:504-417-0838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-23
Last Update Date:2020-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty