Individual
ALEXANDRA SIMONE ROAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1001 BLYTHE BLVD, CHARLOTTE, NC 28203-5866
(704) 355-0101
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5777
NC
Other
Enumeration date
08/21/2019
Last updated
07/15/2024
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