Healthcare Provider Details

I. General information

NPI: 1275613283
Provider Name (Legal Business Name): DANIELLE J MONCRIEF-ALEXANDER MA LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANIELLE CLARK-MONCRIEF MLP

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28475 GREENFIELD RD STE 113-7336
SOUTHFIELD MI
48076-3034
US

IV. Provider business mailing address

28475 GREENFIELD RD STE 113-7336
SOUTHFIELD MI
48076-3034
US

V. Phone/Fax

Practice location:
  • Phone: 313-258-1809
  • Fax:
Mailing address:
  • Phone: 313-258-1809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301013358
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: