Individual
STACEY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
374 S MAIN AVE, ALBANY, NY 12209-1116
(518) 451-9327
Mailing address
374 S MAIN AVE, ALBANY, NY 12209-1116
(518) 451-9327
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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