Provider Demographics
NPI:1265903231
Name:MORROW, ALEXANDRA VIRGINIA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:VIRGINIA
Last Name:MORROW
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ALEXA
Other - Middle Name:VIRGINIA
Other - Last Name:BREWER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:110 HARTWELL AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-3118
Mailing Address - Country:US
Mailing Address - Phone:781-236-3392
Mailing Address - Fax:
Practice Address - Street 1:110 HARTWELL AVE STE 330
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-3118
Practice Address - Country:US
Practice Address - Phone:781-236-3392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10960103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical