Healthcare Provider Details

I. General information

NPI: 1154757250
Provider Name (Legal Business Name): ALEXANDRA ROSE PEZZINO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 LITTLETON RD
PARSIPPANY NJ
07054-4832
US

IV. Provider business mailing address

410 LITTLETON RD
PARSIPPANY NJ
07054-4832
US

V. Phone/Fax

Practice location:
  • Phone: 973-460-2545
  • Fax:
Mailing address:
  • Phone: 908-725-2800
  • Fax: 908-704-1790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: