Individual
DR. ALEXA RALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1351 STONERIDGE DR STE D, BOZEMAN, MT 59718-7079
(406) 519-4099
Mailing address
2201 BAXTER LN # 10415, BOZEMAN, MT 59718
(406) 519-4099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-LIC-2976
MT
Other
Enumeration date
12/02/2019
Last updated
02/01/2023
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