Provider Demographics
NPI:1497125546
Name:HSIEH, ALEXANDER LIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:LIN
Last Name:HSIEH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 W EL CAMINO AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-1866
Mailing Address - Country:US
Mailing Address - Phone:916-561-3213
Mailing Address - Fax:
Practice Address - Street 1:2030 W EL CAMINO AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-1866
Practice Address - Country:US
Practice Address - Phone:916-561-3213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT103603106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist