Provider Demographics
NPI:1528606308
Name:KAY, ALEXANDRA JUDITH (MA, ATR-BC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JUDITH
Last Name:KAY
Suffix:
Gender:F
Credentials:MA, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 POCONO BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT POCONO
Mailing Address - State:PA
Mailing Address - Zip Code:18344-1033
Mailing Address - Country:US
Mailing Address - Phone:570-243-8787
Mailing Address - Fax:
Practice Address - Street 1:1151 POCONO BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT POCONO
Practice Address - State:PA
Practice Address - Zip Code:18344-1033
Practice Address - Country:US
Practice Address - Phone:570-243-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health