Individual
ALEXANDRA PERLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3400 MARKET ST STE 200, PHILADELPHIA, PA 19104-3306
(215) 590-7555
Mailing address
3440 MARKET ST STE 200, PHILADELPHIA, PA 19104-3336
(215) 590-7555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018350
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS018350
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
08/23/2017
Last updated
12/14/2017
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