Provider Demographics
NPI:1609160753
Name:LUEDKE, ALEXANDRA NICOLE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:NICOLE
Last Name:LUEDKE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 N LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-2084
Mailing Address - Country:US
Mailing Address - Phone:816-803-0675
Mailing Address - Fax:
Practice Address - Street 1:9201 FOSTER ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2295
Practice Address - Country:US
Practice Address - Phone:816-803-0675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009038484235Z00000X
KS3083235Z00000X
LA6402235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist