Provider Demographics
NPI:1033503362
Name:DELORENZE, ALEXANDRA NOEL
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NOEL
Last Name:DELORENZE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 865
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-0865
Mailing Address - Country:US
Mailing Address - Phone:860-575-4231
Mailing Address - Fax:
Practice Address - Street 1:148 PLEASANT BAY RD
Practice Address - Street 2:
Practice Address - City:HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645-1451
Practice Address - Country:US
Practice Address - Phone:860-575-4231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst