Individual
ALEXANDRA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM, 116B, JAMAICA PLAIN, MA 02130-4817
(857) 364-6197
Mailing address
233 COMMONWEALTH AVE APT 6, BOSTON, MA 02116-1720
(617) 312-0207
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9418
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
9418
MA
103TB0200X
Cognitive & Behavioral Psychologist
9418
MA
103TC0700X
Clinical Psychologist
9418
MA
103TF0000X
Family Psychologist
9418
MA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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