Provider Demographics
NPI:1659055879
Name:HARRIS, ALEXANDER RAMIREZ (MA)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:RAMIREZ
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 DUSTIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2806
Mailing Address - Country:US
Mailing Address - Phone:774-270-2856
Mailing Address - Fax:
Practice Address - Street 1:892 WORCESTER ST STE 210
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-3729
Practice Address - Country:US
Practice Address - Phone:781-214-1078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health