Austin Alexander, PRSS

Individual provider Active NPI Peer Specialist · Parkersburg, WV

NPI 1023740925 · NPPES record last updated Jun 29, 2022

Key facts

NPI
1023740925
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
2910 Emerson Ave
Parkersburg, WV 26104-2519
Phone
(740) 856-1084
NPI assigned
Jun 29, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Yes

Addresses

Primary practice location

2910 Emerson Ave
Parkersburg, WV 26104-2519

Mailing address

2910 Emerson Ave
Parkersburg, WV 26104-2519
Phone (740) 856-1084

Other providers in Parkersburg, WV

All providers in Parkersburg, WV · Peer Specialist in West Virginia

Sources for this page

Verify at the official NPI Registry.