Provider Demographics
NPI:1861703944
Name:BOYER, ALEXANDRIA C (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:C
Last Name:BOYER
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13100 MANCHESTER RD STE 155
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-1703
Mailing Address - Country:US
Mailing Address - Phone:314-394-1171
Mailing Address - Fax:888-977-3461
Practice Address - Street 1:3115 S GRAND BLVD
Practice Address - Street 2:SUITE 450
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-1034
Practice Address - Country:US
Practice Address - Phone:314-577-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-23
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010018155101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional