Individual
ALEXANDRA CARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10451 TWIN RIVERS RD, COLUMBIA, MD 21044-2388
(410) 997-3557
(410) 964-1791
Mailing address
4623 FALLS ROAD, BALTIMORE, MD 21209
(410) 366-1980
(410) 366-8530
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03037
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226086
KAISER
MD
01
—
248457
UNITED BEHAVIORAL HEALTH
MD
01
—
347491
MAMSI
MD
01
—
366159
TRICARE
MD
01
—
53242202
CAREFIRST BCBS
MD
01
—
7572389
AETNA HEALTHCARE
MD
01
—
PVPB134009
APS HEALTHCARE
MD
01
—
T541-0003
CAREFIRST BCBS
MD
Enumeration date
09/14/2006
Last updated
11/27/2007
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