Provider Demographics
NPI:1902645328
Name:ALEXANDER, MATTHEW (LPC, NCC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-2851
Mailing Address - Country:US
Mailing Address - Phone:267-348-8579
Mailing Address - Fax:
Practice Address - Street 1:950 KINGS HWY N STE 304
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1518
Practice Address - Country:US
Practice Address - Phone:856-600-0951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015613101YP2500X
NJ37PC01032800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional