Provider Demographics
NPI:1518025808
Name:ALEXANDER, NANCY L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:L
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 HILLBORN AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1123
Mailing Address - Country:US
Mailing Address - Phone:610-544-7022
Mailing Address - Fax:610-544-7022
Practice Address - Street 1:605 HILLBORN AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1123
Practice Address - Country:US
Practice Address - Phone:610-544-7022
Practice Address - Fax:610-544-7022
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008824L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA785400OtherPROVIDER ID NUMBER
PA033893Medicare PIN