Provider Demographics
NPI:1043592603
Name:MERIN, ALEXIS SECOR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:SECOR
Last Name:MERIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1634 I ST NW
Mailing Address - Street 2:SUITE 805
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-4003
Mailing Address - Country:US
Mailing Address - Phone:202-870-0909
Mailing Address - Fax:
Practice Address - Street 1:1634 I ST NW
Practice Address - Street 2:SUITE 805
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4003
Practice Address - Country:US
Practice Address - Phone:202-870-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-09
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist