Provider Demographics
NPI:1346531191
Name:ALEXANDER, MATTHEW STERLING (MS CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:STERLING
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:305 OAK CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-1795
Mailing Address - Country:US
Mailing Address - Phone:713-205-6676
Mailing Address - Fax:
Practice Address - Street 1:17101 MILL FOREST RD STE 171
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4407
Practice Address - Country:US
Practice Address - Phone:832-548-0347
Practice Address - Fax:832-995-0473
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106122235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX106122OtherSPEECH LANGUAGE PATHOLOGY LICENSE