Julie Diane Alexander, MFT

Individual provider Active NPI Marriage & Family Therapist · Wichita, KS

NPI 1790202802 · NPPES record last updated Aug 29, 2017

Key facts

NPI
1790202802
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
2907 (KS)
Practice address
964 N Tyler Rd
Wichita, KS 67212-3240
Phone
(316) 204-9395
NPI assigned
Aug 29, 2017
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

State licenses

LicenseStateTypeSpecialty
2907KSMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2907 KS Yes

Addresses

Primary practice location

964 N Tyler Rd
Wichita, KS 67212-3240

Mailing address

1313 N Aksarben CT
Wichita, KS 67235-9764
Phone (316) 204-9395

Other providers in Wichita, KS

All providers in Wichita, KS · Marriage & Family Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.