Provider Demographics
NPI:1063769206
Name:MURTAGH-ALEXANDER, MICHELLE MAREE (MA, LPC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MAREE
Last Name:MURTAGH-ALEXANDER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-7977
Mailing Address - Country:US
Mailing Address - Phone:248-884-8873
Mailing Address - Fax:
Practice Address - Street 1:18 CARLISLE ST STE 109
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1823
Practice Address - Country:US
Practice Address - Phone:248-884-8873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008758101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional