Healthcare Provider Details

I. General information

NPI: 1932012234
Provider Name (Legal Business Name): ALEXANDRIA SHOEMAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 MEETINGHOUSE RD APT H18
UPPER CHICHESTER PA
19061-2966
US

IV. Provider business mailing address

3131 MEETINGHOUSE RD APT H18
UPPER CHICHESTER PA
19061-2966
US

V. Phone/Fax

Practice location:
  • Phone: 610-450-1403
  • Fax:
Mailing address:
  • Phone: 610-450-1403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC021158
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: