Provider Demographics
NPI:1790036895
Name:ALEXANDER, CYNTHIA L (PHD, JD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:L
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:PHD, JD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1221 1ST AVE
Mailing Address - Street 2:APT. 217
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3405
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9933 WEST HAYES STREET, OLD MADIGAN
Practice Address - Street 2:NATIONAL CENTER FOR TELEHEALTH & TECHNOLOGY (T2)
Practice Address - City:JOINT BASE LEWIS-MCCHORD
Practice Address - State:WA
Practice Address - Zip Code:98431
Practice Address - Country:US
Practice Address - Phone:703-402-3686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist