Provider Demographics
NPI:1164132825
Name:ALEXANDER, DEANNA (MA, MS)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 HUFF RD NW APT 2213
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-4229
Mailing Address - Country:US
Mailing Address - Phone:773-606-1878
Mailing Address - Fax:
Practice Address - Street 1:1040 HUFF RD NW APT 2213
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-4229
Practice Address - Country:US
Practice Address - Phone:773-606-1878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling