Provider Demographics
NPI:1588764088
Name:HANS, ALEXANDRA VOZICK (MSW)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:VOZICK
Last Name:HANS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 DEVON RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1649
Mailing Address - Country:US
Mailing Address - Phone:671-964-6388
Mailing Address - Fax:617-916-1142
Practice Address - Street 1:51 DEVON RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1649
Practice Address - Country:US
Practice Address - Phone:671-964-6388
Practice Address - Fax:617-916-1142
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1021391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical