Provider Demographics
NPI:1043531411
Name:ALEXANDER, MOREL MORTON (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MOREL
Middle Name:MORTON
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 EDWARDS ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-3784
Mailing Address - Country:US
Mailing Address - Phone:203-785-0750
Mailing Address - Fax:860-376-5878
Practice Address - Street 1:251 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-3784
Practice Address - Country:US
Practice Address - Phone:203-785-0750
Practice Address - Fax:860-376-5878
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-19
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001342106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist