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NPI Code Detail

MEDICARE: MR. ALEX EMERSON DRYDEN L.P.C.

MEDICARE: MR. ALEX EMERSON DRYDEN L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701003029VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316951262
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEX EMERSON DRYDEN L.P.C.
Provider Business Mailing Address
First Line : 327 W 21ST ST
Second Line : SUITE 205
City : NORFOLK
State : VA
Zip : 23517-2130
Country : US
Telephone Number : 757-622-9852
Fax Number : 757-622-4033
Provider Business Practice Location Address
First Line : 327 W 21ST ST
Second Line : SUITE 205
City : NORFOLK
State : VA
Zip : 23517-2130
Country : US
Telephone Number : 757-622-9852
Fax Number : 757-622-4033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 11/01/2013

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