Provider Demographics
NPI:1417406414
Name:LUCEY, ALEXANDRA MARCELLE
Entity Type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:MARCELLE
Last Name:LUCEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 FIELD RD
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1005
Mailing Address - Country:US
Mailing Address - Phone:413-847-0706
Mailing Address - Fax:
Practice Address - Street 1:38 FIELD RD
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1005
Practice Address - Country:US
Practice Address - Phone:413-847-0706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-02
Last Update Date:2016-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist