Provider Demographics
NPI:1821453895
Name:HARARI, ALEXANDRA SARAH
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:SARAH
Last Name:HARARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5560 COLODNY DR
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2216
Mailing Address - Country:US
Mailing Address - Phone:818-307-9249
Mailing Address - Fax:
Practice Address - Street 1:5560 COLODNY DR
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2216
Practice Address - Country:US
Practice Address - Phone:818-307-9249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health