Provider Demographics
NPI:1316502669
Name:HOFFMAN-STACHELBERG, ALEXANDRA (PHD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:HOFFMAN-STACHELBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:H. STACHELBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:80 8TH AVE STE 1305
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7161
Mailing Address - Country:US
Mailing Address - Phone:917-656-8964
Mailing Address - Fax:
Practice Address - Street 1:80 8TH AVE STE 1305
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7161
Practice Address - Country:US
Practice Address - Phone:917-656-8964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health