Alexander, Myrna B.

Alexander, Myrna B. is an sole proprietor health care provider with primary practice located at 5276 Dawes Ave , Alexandria VA 22311-1404. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Alexander, Myrna B. can be contacted via phone (703) 379-7350.

Contact Information

Primary practice address
5276 Dawes Ave Alexandria VA 22311-1404
Fax: (703) 379-7352
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001005 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X PRC 44 District of Columbia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000085 Virginia

Profile Details

NPI number 1750447975
LBN Legal business name Alexander, Myrna B.
Credentials ED.D., LPC,LMFT,NCC,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750447975 NPPES
Virginia MEDICAID 5413931

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