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Individual

DR. ALEXANDRA MARIA ALFONSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0004929
CO
103TC0700X
Clinical Psychologist
Primary
PY11223
FL
103TC2200X
Clinical Child & Adolescent Psychologist
PSY.0004929
CO

Other

Enumeration date
08/10/2011
Last updated
01/19/2023
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