Provider Demographics
NPI:1790386456
Name:CONROY, ALEXANDRA LLOYD (PHD, MPS, LADC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:LLOYD
Last Name:CONROY
Suffix:
Gender:F
Credentials:PHD, MPS, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13911 RIDGEDALE DR STE 340
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-1775
Mailing Address - Country:US
Mailing Address - Phone:651-494-4496
Mailing Address - Fax:
Practice Address - Street 1:13911 RIDGEDALE DR STE 340
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1775
Practice Address - Country:US
Practice Address - Phone:651-494-4496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-07
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN305698101YA0400X
MNLP6685103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)