Provider Demographics
NPI:1457949877
Name:MILLIGAN, ALEXANDRIA (MFT)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 GAUL ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-3004
Mailing Address - Country:US
Mailing Address - Phone:267-432-0103
Mailing Address - Fax:
Practice Address - Street 1:2552 N 17TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-3927
Practice Address - Country:US
Practice Address - Phone:267-422-2843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-03
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty