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NPI Code Detail

MEDICARE: MR. ALEXANDER PETER YOUSIF CPSS

MEDICARE: MR. ALEXANDER PETER YOUSIF CPSS
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
1175T00000XPeer Specialist2024-11487-01NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12024-11487-01OTHERNCBEHAVIORAL HEALTH SPRINGBOARD - UNC SCHOOL OF SOCIAL WORK

General Provider Information

NPI Number : 1649051624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEXANDER PETER YOUSIF CPSS
Provider Business Mailing Address
First Line : 415 DUNSTAN AVE STE B
Second Line :
City : DURHAM
State : NC
Zip : 27707-2390
Country : US
Telephone Number : 984-282-6654
Fax Number :
Provider Business Practice Location Address
First Line : 415 DUNSTAN AVE STE B
Second Line :
City : DURHAM
State : NC
Zip : 27707-2390
Country : US
Telephone Number : 984-377-8576
Fax Number : 984-208-5220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2023
Last Update Date : 12/08/2024

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