ALEXANDRA B MCLEAN


Address: 150 Stafford Avenue - Bldg. 1 - 2nd Floor, Suite 210, Wayne, PA 19087-3114
Phone: 6108969870

ALEXANDRA B MCLEAN (NPI# 1386650463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386650463
Entity Type Individual
Full Name ALEXANDRA B MCLEAN
Credential MD
Practice Address 150 Stafford Avenue - Bldg. 1 - 2nd Floor
Suite 210
Wayne
PA 19087-3114
Practice Telephone 6108969870
Practice Fax Number 6108969871
Mailing Telephone 6108969870
Mailing Fax Number 6108969871
Enumeration Date 2006-07-31
Last Update Date 2018-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0802X Psychiatry & Neurology
Specialization: Addiction Psychiatry
MD057719L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 001671627 05

Office Location

Street Address 150 STAFFORD AVENUE - BLDG. 1 - 2ND FLOOR
SUITE 210
City WAYNE
State PA
Zip Code 19087-3114

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Taxonomy Information

Taxonomy Code 2084P0802X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Psychiatry

Taxonomy Definition

Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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Competitor

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City WAYNE
Zip Code 19087

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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