MEDICARE: DR. ALEXANDER AFRAM PHD

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	103TC0700X	Clinical Psychologist	PSY1001017	DC

General Provider Information

NPI Number	:	1942703533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER AFRAM PHD

Provider Business Mailing Address
First Line	:	1121 ARLINGTON BLVD APT 119
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22209-3208
Country	:	US
Telephone Number	:	703-470-6036
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 16TH ST NW STE 440
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-4820
Country	:	US
Telephone Number	:	571-882-1648
Fax Number	:

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

Provider Enumeration Date	:	03/09/2018
Last Update Date	:	03/09/2018

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