Provider Demographics
NPI:1447145636
Name:DUNCAN, ALEXA SUZANNE
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:SUZANNE
Last Name:DUNCAN
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 1:3475 SOUTHRIDGE PL APT 10
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-7913
Mailing Address - Country:US
Mailing Address - Phone:918-801-6226
Mailing Address - Fax:
Practice Address - Street 1:1295 PIONEER LN
Practice Address - Street 2:
Practice Address - City:GENTRY
Practice Address - State:AR
Practice Address - Zip Code:72734-8876
Practice Address - Country:US
Practice Address - Phone:479-736-2380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist