Provider Demographics
NPI:1306480991
Name:COBINE, ALEXANDRIA ROSE (CF-SLP)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:ROSE
Last Name:COBINE
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5445 GARDEN CT APT 3K
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-5020
Mailing Address - Country:US
Mailing Address - Phone:812-431-6811
Mailing Address - Fax:
Practice Address - Street 1:4199 GATEWAY BLVD STE 3800
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8940
Practice Address - Country:US
Practice Address - Phone:812-431-6811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN46003568A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist