Provider Demographics
NPI:1588917801
Name:KRASS, ALEXANDRA LUDOVINA
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:LUDOVINA
Last Name:KRASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2091
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-0091
Mailing Address - Country:US
Mailing Address - Phone:650-935-4611
Mailing Address - Fax:
Practice Address - Street 1:526 W FREMONT AVE UNIT 2091
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-9004
Practice Address - Country:US
Practice Address - Phone:650-935-4611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health