Provider Demographics
NPI:1225798317
Name:GEORGE, ALEXIS ANNE
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ANNE
Last Name:GEORGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3341 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49029-8712
Mailing Address - Country:US
Mailing Address - Phone:517-756-8198
Mailing Address - Fax:
Practice Address - Street 1:1525 RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-6425
Practice Address - Country:US
Practice Address - Phone:989-835-6333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist