Provider Demographics
NPI:1326139205
Name:ALEXANDER, DACIA M (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:DACIA
Middle Name:M
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:MS
Other - First Name:DACIA
Other - Middle Name:
Other - Last Name:MELANCON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:503 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6508
Mailing Address - Country:US
Mailing Address - Phone:225-231-3800
Mailing Address - Fax:225-231-3803
Practice Address - Street 1:503 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6508
Practice Address - Country:US
Practice Address - Phone:225-231-3800
Practice Address - Fax:225-231-3803
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3134235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist