Provider Demographics
NPI:1891574844
Name:CRAIG, ALEXA (SLPA)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:CRAIG
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7819 A ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-7008
Mailing Address - Country:US
Mailing Address - Phone:971-386-3650
Mailing Address - Fax:
Practice Address - Street 1:8102 PHILLIPS RD SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-6302
Practice Address - Country:US
Practice Address - Phone:253-583-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant