Provider Demographics
NPI:1437604261
Name:SCHILLING, ALEXANDRA R (PSYD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:R
Last Name:SCHILLING
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:R
Other - Last Name:IVERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYCHOLOGIST
Mailing Address - Street 1:10752 N 89TH PL
Mailing Address - Street 2:227C
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6730
Mailing Address - Country:US
Mailing Address - Phone:480-744-3040
Mailing Address - Fax:
Practice Address - Street 1:10752 N 89TH PL
Practice Address - Street 2:227C
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6730
Practice Address - Country:US
Practice Address - Phone:480-744-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-22
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4535103T00000X
AZ4772103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist