Healthcare Provider Details

I. General information

NPI: 1861325797
Provider Name (Legal Business Name): ELIZABETH ALEXANDER MS/PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 POPLAR AVE
WEST SACRAMENTO CA
95691-2555
US

IV. Provider business mailing address

930 WESTACRE RD
WEST SACRAMENTO CA
95691-3224
US

V. Phone/Fax

Practice location:
  • Phone: 916-375-7720
  • Fax:
Mailing address:
  • Phone: 916-640-9579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: