MEDICARE: DR. YIANOULA ALEXAKIS PSY.D.

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
1	103G00000X	Clinical Neuropsychologist	PY0003778	FL
2	103TC2200X	Clinical Child & Adolescent Psychologist	PY0003778	FL

General Provider Information

NPI Number	:	1679696272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YIANOULA ALEXAKIS PSY.D.

Provider Business Mailing Address
First Line	:	5 HARVARD CIR
Second Line	:	SUITE 109
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1979
Country	:	US
Telephone Number	:	561-687-0244
Fax Number	:	561-688-9157

Provider Business Practice Location Address
First Line	:	5 HARVARD CIR
Second Line	:	SUITE 109
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1979
Country	:	US
Telephone Number	:	561-687-0244
Fax Number	:	561-688-9157

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	09/11/2025

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