Provider Demographics
NPI:1528789138
Name:STRONG, ALEXANDRA LINN
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LINN
Last Name:STRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PARKER TER
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1061
Mailing Address - Country:US
Mailing Address - Phone:774-482-0441
Mailing Address - Fax:
Practice Address - Street 1:10 PARKER TER
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1061
Practice Address - Country:US
Practice Address - Phone:774-482-0441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent