Provider Demographics
NPI:1225812415
Name:ALEJANDRE, JEAVONI ROSE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JEAVONI
Middle Name:ROSE
Last Name:ALEJANDRE
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 1:8117 PRESTON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6347
Mailing Address - Country:US
Mailing Address - Phone:972-695-9511
Mailing Address - Fax:
Practice Address - Street 1:8117 PRESTON RD STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6347
Practice Address - Country:US
Practice Address - Phone:972-695-9511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39838103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist