Individual
ALEX BIRTHRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 W MARKET ST FL 3, GREENSBORO, NC 27403-1830
(336) 334-5662
Mailing address
PO BOX 26170, GREENSBORO, NC 27402-6170
(336) 334-5662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5127
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2016
Last updated
02/22/2017
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