Provider Demographics
NPI:1518203637
Name:FLOYD ALEXANDER, JESSICA K (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:K
Last Name:FLOYD 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 1:21031 MARKET RDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2483
Mailing Address - Country:US
Mailing Address - Phone:210-233-6148
Mailing Address - Fax:210-399-8721
Practice Address - Street 1:21031 MARKET RDG
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-2483
Practice Address - Country:US
Practice Address - Phone:210-233-6148
Practice Address - Fax:210-399-8721
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-18
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04742103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent