Provider Demographics
NPI:1831755537
Name:CLARK, ALEXANDRA LEIGH (PHD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:LEIGH
Last Name:CLARK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:711 W 38TH ST STE F2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1133
Mailing Address - Country:US
Mailing Address - Phone:512-637-5841
Mailing Address - Fax:512-637-5997
Practice Address - Street 1:711 W 38TH ST STE F2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1133
Practice Address - Country:US
Practice Address - Phone:512-637-5841
Practice Address - Fax:512-637-5997
Is Sole Proprietor?:No
Enumeration Date:2019-05-17
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39726103G00000X
103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist