Deanna Lyn Alexander

Individual provider Active NPI Child Mental Illness Respite Care · Arizona City, AZ

NPI 1407912975 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407912975
Entity type
Individual (NPI type 1)
Primary specialty
Child Mental Illness Respite Care 385HR2055X
License
11632 (AZ)
Practice address
11382 W Delwood Dr
Arizona City, AZ 85223
Phone
(520) 421-3089
NPI assigned
Dec 29, 2006
Sex
Female
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
Child Mental Illness Respite Care 385HR2055X 11632 AZ Yes

Addresses

Primary practice location

11382 W Delwood Dr
Arizona City, AZ 85223

Mailing address

PO Box 3661
Arizona City, AZ 85223-3661
Phone (520) 421-3089

Other providers in Arizona City, AZ

All providers in Arizona City, AZ · Child Mental Illness Respite Care in Arizona

Sources for this page

Verify at the official NPI Registry.