Individual
DR. ALEXIS EXUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PHD
Contact information
Practice address
1110 BONIFANT ST STE 201H, SILVER SPRING, MD 20910-3358
(804) 215-6247
Mailing address
6249 GREENWICK DR, GLEN ALLEN, VA 23059-5451
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
07108
MD
103T00000X
Psychologist
0810008497
VA
103TB0200X
Cognitive & Behavioral Psychologist
0810008497
VA
103TC0700X
Clinical Psychologist
Primary
07108
MD
103TC0700X
Clinical Psychologist
0810008497
VA
103TC2200X
Clinical Child & Adolescent Psychologist
07108
MD
103TC2200X
Clinical Child & Adolescent Psychologist
0810008497
VA
103TF0000X
Family Psychologist
07108
MD
103TF0000X
Family Psychologist
0810008497
VA
103TH0004X
Health Psychologist
07108
MD
103TH0004X
Health Psychologist
0810008497
VA
103TP2701X
Group Psychotherapy Psychologist
07108
MD
103TP2701X
Group Psychotherapy Psychologist
0810008497
VA
Other
Enumeration date
04/12/2024
Last updated
07/31/2024
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