Provider Demographics
NPI:1871632505
Name:GITTER, ALEXANDRA HANNA (MS, MED)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:HANNA
Last Name:GITTER
Suffix:
Gender:F
Credentials:MS, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 CLAREMONT AVE APT 6
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2852
Mailing Address - Country:US
Mailing Address - Phone:413-250-0505
Mailing Address - Fax:
Practice Address - Street 1:232 CLAREMONT AVE APT 6
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2852
Practice Address - Country:US
Practice Address - Phone:413-250-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00722600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional