Healthcare Provider Details

I. General information

NPI: 1891070009
Provider Name (Legal Business Name): CHRISTINA LOUISE ALEXANDER M.A., ATR-BC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 WOOD ST
PHILADELPHIA PA
19107-1113
US

IV. Provider business mailing address

1212 WOOD ST
PHILADELPHIA PA
19107-1113
US

V. Phone/Fax

Practice location:
  • Phone: 215-568-2435
  • Fax: 215-564-4740
Mailing address:
  • Phone: 215-568-2435
  • Fax: 215-564-4740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006051
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: