Organization
ALEXANDER BORY PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BORY PHD (OWNER)
(540) 371-2251
Entity
Organization
Contact information
Practice address
1119 CAROLINE ST, FREDERICKSBURG, VA 22401-3815
(540) 371-2251
(540) 371-2930
Mailing address
1119 CAROLINE ST, FREDERICKSBURG, VA 22401-3815
(540) 371-2251
(540) 371-2930
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001956
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007701764
—
VA
Enumeration date
06/08/2012
Last updated
06/08/2012
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