Provider Demographics
NPI:1669126504
Name:GUY, ALEXUS DOMINIQUE
Entity type:Individual
Prefix:
First Name:ALEXUS
Middle Name:DOMINIQUE
Last Name:GUY
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 1:3272 15TH PL SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-2931
Mailing Address - Country:US
Mailing Address - Phone:202-657-9490
Mailing Address - Fax:
Practice Address - Street 1:3272 15TH PL SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2931
Practice Address - Country:US
Practice Address - Phone:202-657-9490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation