Individual
MISS ALEXANDRA M PSIHOGIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1110 W COLUMBIA AVE, APT 1N, CHICAGO, IL 60626-4522
(240) 994-6546
Mailing address
1110 W COLUMBIA AVE, APT 1N, CHICAGO, IL 60626-4522
(240) 994-6546
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS018621
PA
252Y00000X
Early Intervention Provider Agency
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Other
Enumeration date
02/13/2013
Last updated
08/07/2019
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