Provider Demographics
NPI:1154080729
Name:FARQUHAR-LEICESTER, ALEXANDER LINDSEY (MA)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:LINDSEY
Last Name:FARQUHAR-LEICESTER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 S 70TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1565
Mailing Address - Country:US
Mailing Address - Phone:402-810-8833
Mailing Address - Fax:833-459-0371
Practice Address - Street 1:1610 S 70TH ST STE 101
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1565
Practice Address - Country:US
Practice Address - Phone:402-810-8833
Practice Address - Fax:833-459-0371
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12824101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health