Provider Demographics
NPI:1346454345
Name:CONROY, ALEXANDER J (MA)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:J
Last Name:CONROY
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 1:8 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4140
Mailing Address - Country:US
Mailing Address - Phone:610-696-7931
Mailing Address - Fax:
Practice Address - Street 1:8 PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4140
Practice Address - Country:US
Practice Address - Phone:610-696-7931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006754L103TB0200X
PAMF000036106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist