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NPI Code Detail

MEDICARE: ALEXANDRIA PRICE

MEDICARE: ALEXANDRIA PRICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1578206892
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA PRICE
Provider Business Mailing Address
First Line : 201 FOLSOM ST APT 10F
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94105-5067
Country : US
Telephone Number : 831-419-6500
Fax Number :
Provider Business Practice Location Address
First Line : 3010 COLBY ST STE 221
Second Line :
City : BERKELEY
State : CA
Zip : 94705-2056
Country : US
Telephone Number : 510-922-9757
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 04/14/2022

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Directions to “ ALEXANDRIA PRICE ” Practice Location

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