Provider Demographics
NPI:1962810796
Name:HUNSINGER, ALEXANDRA LEIGH (MA)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:LEIGH
Last Name:HUNSINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:ALEXANDRA
Other - Middle Name:LEIGH
Other - Last Name:HAYNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:4065 COLEMAN ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-2856
Mailing Address - Country:US
Mailing Address - Phone:610-419-3065
Mailing Address - Fax:
Practice Address - Street 1:3975 TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9467
Practice Address - Country:US
Practice Address - Phone:610-866-6667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002187103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst