National Provider Identifier

Alexandra Morgan Bracy Menard, M.S., CCC-SLP

Alexandra Morgan Bracy Menard, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Webster, NY and a listed phone number of (585) 872-1770.

NPI 1700318169Webster, NYSpeech-Language Pathologist

Profile Overview

NPI
1700318169
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
April 03, 2017
Last Updated
August 21, 2020

Practice Location

  • 1015 Klem RD
  • Alex Bracy- Room 113
  • Webster, NY 14580-8618

Phone: (585) 872-1770

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1700318169
Entity Type
Individual
Last Name
Menard
First Name
Alexandra
Middle Name
Morgan Bracy
Credential
M.S., CCC-SLP
Mailing Street Address
1015 Klem RD
Mailing Address Line 2
Alex Bracy- Room 113
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-8618
Mailing Country
US
Mailing Phone
(585) 872-1770
Practice Street Address
1015 Klem RD
Practice Address Line 2
Alex Bracy- Room 113
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-8618
Practice Country
US
Practice Phone
(585) 872-1770
Enumeration Date
April 03, 2017
Last Updated
August 21, 2020
Sex
Female
Sole Proprietor
No
Certification Date
August 21, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
488576 (NY)