Provider Demographics
NPI:1023149648
Name:ALEXANDER, BERNADETTE (LPC)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:
Last Name:ALEXANDER
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 1:6 BEN LOMOND ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2829
Mailing Address - Country:US
Mailing Address - Phone:724-425-0223
Mailing Address - Fax:724-425-0331
Practice Address - Street 1:6 BEN LOMOND ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2829
Practice Address - Country:US
Practice Address - Phone:724-425-0223
Practice Address - Fax:724-425-0331
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004105101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional