Alexandra Gleason, LMFT, PLLC
Organization Active NPI Marriage & Family Therapist · South Setauket, NY
NPI 1124665617 · NPPES record last updated Dec 4, 2019
Key facts
- NPI
- 1124665617
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- ALEXANDRA GLEASON, LMFT, PLLC
- Practice address
- 15 Dave LN
South Setauket, NY 11720-1006 - Phone
- (516) 993-6678
- NPI assigned
- Dec 4, 2019
- Organization subpart
- No
Authorized official
- Name
- Alexandra Gleason
- Title
- Owner
- Phone
- (516) 993-6678
Practitioners 1
-
Alexandra Gleason, LMFT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
15 Dave LN
South Setauket, NY 11720-1006
Mailing address
15 Dave LN
South Setauket, NY 11720-1006
Phone (516) 993-6678
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154867877 | Other | NY | BLUECROSS BLUE SHIELD |
Other names
- Alexandra Gleason, LMFT, PLLC
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All providers in South Setauket, NY · Marriage & Family Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.