Individual
DR. ALEXANDRA FILIA CORNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1251 N. EDDY STREET, SUITE 200, SOUTH BEND, IN 46530-6258
(574) 307-9147
Mailing address
1251 N. EDDY STREET, SUITE 200, SOUTH BEND, IN 46617-1478
(574) 307-9147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20041625A
IN
103TC1900X
Counseling Psychologist
Primary
20041625A
IN
Other
Enumeration date
05/23/2016
Last updated
02/09/2017
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