Doctor Name: | ALEXANDRA CAMPBELL GENESER |
NPI Number: | 1366889461 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., PSY.D. |
License Number: | 0810005221 |
Business Practice Address: | 2015 Reservoir St Suite 204 Harrisonburg, VA - 228018739 |
Business Phone Number: | 3615371200 |
Business Fax Number: | 5409328551 |
Mailing Address: | 2015 Reservoir St, Suite 204 HARRISONBURG |
State: | VA |
Postal Code: | 228018739 |
Phone Number: | 3615371200 |
Fax Number: | 5409328551 |
NPI Enumeration Date: | 05/29/2013 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 0810005221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |