Provider Demographics
NPI:1508050964
Name:VAN, NHI ALEXANDRA (PHD)
Entity Type:Individual
Prefix:DR
First Name:NHI
Middle Name:ALEXANDRA
Last Name:VAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:LAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:214-493-2025
Mailing Address - Fax:
Practice Address - Street 1:13620 NW MILITARY HWY
Practice Address - Street 2:BUILDING 3
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1875
Practice Address - Country:US
Practice Address - Phone:214-493-2025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-29
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling