Provider Demographics
NPI:1912030727
Name:ALEXY, JUDY A (LPC)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:A
Last Name:ALEXY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 JONQUIL PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2426
Mailing Address - Country:US
Mailing Address - Phone:412-561-0852
Mailing Address - Fax:412-561-5937
Practice Address - Street 1:2961 W LIBERTY AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15216-2546
Practice Address - Country:US
Practice Address - Phone:412-343-6044
Practice Address - Fax:412-561-5937
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health