Naomi Alexander, M-0700026
Individual provider Active NPI Marriage & Family Therapist · Springfield, OH
NPI 1679930374 · NPPES record last updated Mar 15, 2018
Key facts
- NPI
- 1679930374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- M-0700026 (OH)
- Practice address
- 474 N Yellow Springs St
Springfield, OH 45504-2463 - Phone
- (937) 399-9500
- Fax
- (937) 342-4242
- NPI assigned
- Jan 26, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-0700026 | OH | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | M-0700026 | OH | Yes |
Addresses
Primary practice location
474 N Yellow Springs St
Springfield, OH 45504-2463
Mailing address
474 N Yellow Springs St
Springfield, OH 45504-2463
Phone (937) 399-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0264629 | Medicaid | OH |
Other providers in Springfield, OH
- Eucharia Chinwe Akusoba
- Mian Bilal Alam
- Albert E. Becker, M.D. Inc
- Larry A Alexander
- Mica Ayana Alexander
- Patricia P Alexander
- Sylvester Alexander
- Terri Ann Alexander
- Emdad Ali
- Omar Ali
All providers in Springfield, OH · Marriage & Family Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2018. 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.