Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1245800895 |
---|---|
Provider Name | Aayla Alexander |
First Address | Salisbury, NC 28146-8650 |
Second Address | Salisbury, NC 28146-8650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2021 |
Last Update Date | 27/06/2021 |