Provider Demographics
NPI:1760536692
Name:ALEXANDER, BEVERLY A (MS)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:A
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12398 HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71343-3920
Mailing Address - Country:US
Mailing Address - Phone:318-339-9924
Mailing Address - Fax:
Practice Address - Street 1:2801 FOURTH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:JONESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71343-2004
Practice Address - Country:US
Practice Address - Phone:318-339-8553
Practice Address - Fax:318-339-8554
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1762101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional