Provider Demographics
NPI:1255530176
Name:ELECTRIS, ALEXANDRA (ALEXIA) CHRISTINA (PHD, LCAT)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA (ALEXIA)
Middle Name:CHRISTINA
Last Name:ELECTRIS
Suffix:
Gender:F
Credentials:PHD, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:245 N BROADWAY STE 208
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-2899
Mailing Address - Country:US
Mailing Address - Phone:914-488-6432
Mailing Address - Fax:914-488-6431
Practice Address - Street 1:245 N BROADWAY STE 208
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2899
Practice Address - Country:US
Practice Address - Phone:914-488-6432
Practice Address - Fax:914-488-6431
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
NY000662221700000X
NY020871103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist