Provider Demographics
NPI:1356110449
Name:PURDY, ALEXANDRA CHASE (CF-SLP)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CHASE
Last Name:PURDY
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:CHACE
Other - Last Name:PURDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CF-SLP
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-366-3687
Mailing Address - Fax:614-293-6176
Practice Address - Street 1:915 OLENTANGY RIVER RD STE 4000
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3154
Practice Address - Country:US
Practice Address - Phone:614-366-3687
Practice Address - Fax:614-293-9698
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20010235Z00000X
OHSP.16690235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist