Provider Demographics
NPI:1922467257
Name:WILLIAMS, ALEXANDRA DIANE JOYCE
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:DIANE JOYCE
Last Name:WILLIAMS
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 1:10320 BLACKSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20623-1161
Mailing Address - Country:US
Mailing Address - Phone:301-908-3329
Mailing Address - Fax:
Practice Address - Street 1:10320 BLACKSTONE AVE
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:MD
Practice Address - Zip Code:20623
Practice Address - Country:US
Practice Address - Phone:301-908-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional