Healthcare Provider Details

I. General information

NPI: 1306523311
Provider Name (Legal Business Name): ALEXANDRA ZIRALDO MC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6424 E GREENWAY PKWY
SCOTTSDALE AZ
85254-2045
US

IV. Provider business mailing address

6424 E GREENWAY PKWY
SCOTTSDALE AZ
85254-2045
US

V. Phone/Fax

Practice location:
  • Phone: 480-531-1076
  • Fax:
Mailing address:
  • Phone: 480-531-1076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC-17951
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: