Provider Demographics
NPI:1396136412
Name:PINSKER, ALEXA SARA (MA MS)
Entity type:Individual
Prefix:MISS
First Name:ALEXA
Middle Name:SARA
Last Name:PINSKER
Suffix:
Gender:F
Credentials:MA MS
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:S
Other - Last Name:PINSKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, MA
Mailing Address - Street 1:1333 IRIS AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-2226
Mailing Address - Country:US
Mailing Address - Phone:303-443-8500
Mailing Address - Fax:
Practice Address - Street 1:1333 IRIS AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-2226
Practice Address - Country:US
Practice Address - Phone:303-443-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-11
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health