Individual
ALEXANDRA QUAST SURGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10293 N MERIDIAN ST STE 210, CARMEL, IN 46290-1079
(216) 973-6979
Mailing address
10293 N MERIDIAN ST STE 210, CARMEL, IN 46290-1079
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042992A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2015
Last updated
09/05/2024
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