Provider Demographics
NPI:1730942491
Name:BARRUSO, ALEXANDRA (BS)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:BARRUSO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 DURSLEY LN
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-1130
Mailing Address - Country:US
Mailing Address - Phone:615-429-5838
Mailing Address - Fax:
Practice Address - Street 1:4048 LUKE CT STE C
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-1034
Practice Address - Country:US
Practice Address - Phone:615-429-5838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health