Provider Demographics
NPI:1972575017
Name:BLOCK, ALEXANDRA CLAUDIA (MA ATR-BC, LPC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CLAUDIA
Last Name:BLOCK
Suffix:
Gender:F
Credentials:MA ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WHITE HORSE PIKE STE 9
Mailing Address - Street 2:
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1294
Mailing Address - Country:US
Mailing Address - Phone:856-858-2800
Mailing Address - Fax:856-858-2866
Practice Address - Street 1:2 WHITE HORSE PIKE STE 9
Practice Address - Street 2:
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035-1294
Practice Address - Country:US
Practice Address - Phone:856-858-2800
Practice Address - Fax:856-858-2866
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00336100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional