Individual
DR. ALEXANDRA DEGEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
577 1ST AVE, NEW YORK, NY 10016-6404
(212) 263-2755
(212) 263-0990
Mailing address
577 1ST AVE, NEW YORK, NY 10016-6404
(212) 263-2755
(212) 263-0990
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
0173961
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0173961
NY
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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