Provider Demographics
NPI:1477786309
Name:WESTFALL, ALEXANDRIA LITTLE (MA, LPA)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRIA
Middle Name:LITTLE
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:MA, LPA
Other - Prefix:MS
Other - First Name:ALEXANDRIA
Other - Middle Name:KATRICE
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPA
Mailing Address - Street 1:518 SUMMER STORM DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2294
Mailing Address - Country:US
Mailing Address - Phone:919-801-8212
Mailing Address - Fax:
Practice Address - Street 1:115 MARKET ST
Practice Address - Street 2:SUITE 360-F
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3251
Practice Address - Country:US
Practice Address - Phone:919-801-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3707103TC0700X, 103T00000X, 103TC2200X, 103TM1800X
3707103TF0000X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107689Medicaid