Individual
DR. MARISSA MILLER ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
711 W END AVE APT 4KS, NEW YORK, NY 10025-9446
(646) 470-8311
Mailing address
711 W END AVE APT 4KS, NEW YORK, NY 10025-9446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020897
NY
103TC1900X
Counseling Psychologist
020897
NY
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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