Alexandra Ingram, PHD | |
1706 Westview Ave, Beaufort, SC 29902-3753 | |
(843) 575-3139 | |
Not Available |
Full Name | Alexandra Ingram |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 1706 Westview Ave, Beaufort, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679283113 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1794 (South Carolina) | Primary |
Entity Name | Lifesource Of North Carolina |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901 |
Mailing Address | Practice Location Address |
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Alexandra Ingram, PHD 1706 Westview Ave, Beaufort, SC 29902-3753 Ph: (843) 575-3139 | Alexandra Ingram, PHD 1706 Westview Ave, Beaufort, SC 29902-3753 Ph: (843) 575-3139 |
Dr. Thomas Michael Collins, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 670 Distant Island Dr, Beaufort, SC 29907 Phone: 843-592-5300 | |
Dr. Melody B Martini, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2201 Boundary St, Suite 307, Beaufort, SC 29902 Phone: 843-522-1552 Fax: 843-522-8823 | |
Mr. Benton Lutz, EDS LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 811 1/2 North St, Beaufort, SC 29902 Phone: 843-986-0569 Fax: 843-986-0560 | |
Nancy Polstein, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Merchants Ln, Beaufort, SC 29907 Phone: 203-520-9451 | |
Dr. Jennifer Marie Mohorovic, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1114 Battery Creek Road, Beaufort, SC 29902 Phone: 410-302-8854 | |
Austin Deshon Hamilton, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 970-351-1890 | |
David Philip Matthews, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort Attn Profession Affairs Coordin, Beaufort, SC 29902 Phone: 843-228-5577 Fax: 843-228-5196 |