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NPI Code Detail

MEDICARE: MRS. ALEXANDRA NORBY LMHC

MEDICARE:  MRS. ALEXANDRA  NORBY  LMHC
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
1101YM0800XMental Health Counselor10705MA

General Provider Information

NPI Number : 1417427139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALEXANDRA NORBY LMHC
Provider Business Mailing Address
First Line : 49 BOSTON ST APT 1
Second Line :
City : SOMERVILLE
State : MA
Zip : 02143-2021
Country : US
Telephone Number : 407-579-4299
Fax Number :
Provider Business Practice Location Address
First Line : 402 HIGHLAND AVE STE G
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2548
Country : US
Telephone Number : 617-702-9131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2018
Last Update Date : 11/26/2018

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Directions to “ MRS. ALEXANDRA NORBY LMHC” Practice Location

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