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NPI Code Detail

MEDICARE: ALEXANDRA PAUL LMHC

MEDICARE: ALEXANDRA PAUL 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 Counselor007927-1NY

General Provider Information

NPI Number : 1831698794
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA PAUL LMHC
Provider Business Mailing Address
First Line : PO BOX 577
Second Line :
City : SKANEATELES
State : NY
Zip : 13152-0577
Country : US
Telephone Number : 315-447-7432
Fax Number :
Provider Business Practice Location Address
First Line : 3070 BELGIUM RD
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-9546
Country : US
Telephone Number : 315-274-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2018
Last Update Date : 02/06/2018

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