Healthcare Provider Details

I. General information

NPI: 1013883115
Provider Name (Legal Business Name): ALEXIS JULIANNA SEGAL ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 W ELLIOT RD STE 101
TEMPE AZ
85284-1206
US

IV. Provider business mailing address

850 W ELLIOT RD STE 101
TEMPE AZ
85284-1206
US

V. Phone/Fax

Practice location:
  • Phone: 480-557-9095
  • Fax: 480-557-9643
Mailing address:
  • Phone: 480-557-9095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number25-4010
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: