Provider Demographics
NPI:1295001923
Name:TERREAU, ALEX A (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:A
Last Name:TERREAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:708 GRAVENSTEIN HWY N UNIT 3001
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-2808
Mailing Address - Country:US
Mailing Address - Phone:707-835-4513
Mailing Address - Fax:
Practice Address - Street 1:6967 LUCAS VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:NICASIO
Practice Address - State:CA
Practice Address - Zip Code:94946
Practice Address - Country:US
Practice Address - Phone:707-835-4513
Practice Address - Fax:707-630-0770
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1198832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry