Healthcare Provider Details

I. General information

NPI: 1124942693
Provider Name (Legal Business Name): ALIXANDRA BURKS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1058 WEST PERIMETER RD.
JOINT BASE ANDREWS MD
20762
US

IV. Provider business mailing address

1708 COLLINGWOOD RD
ALEXANDRIA VA
22308-1609
US

V. Phone/Fax

Practice location:
  • Phone: 240-857-7186
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY1001432
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1001432
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: