Provider Demographics
NPI:1912389032
Name:LUXON, ALEXANDRIA MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:MARIE
Last Name:LUXON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:MARIE
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1165 CLUB CIR APT 15W
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-6982
Mailing Address - Country:US
Mailing Address - Phone:443-243-6248
Mailing Address - Fax:
Practice Address - Street 1:1165 CLUB CIR APT 15W
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-6982
Practice Address - Country:US
Practice Address - Phone:443-243-6248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-25
Last Update Date:2025-09-24
Deactivation Date:2025-08-10
Deactivation Code:
Reactivation Date:2025-09-23
Provider Licenses
StateLicense IDTaxonomies
WI5422-57103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical