Provider Demographics
NPI:1366889461
Name:GENESER, ALEXANDRA CAMPBELL (MA, PSYD)
Entity type:Individual
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First Name:ALEXANDRA
Middle Name:CAMPBELL
Last Name:GENESER
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Gender:F
Credentials:MA, PSYD
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Mailing Address - Street 1:2015 RESERVOIR ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8739
Mailing Address - Country:US
Mailing Address - Phone:540-221-1846
Mailing Address - Fax:540-932-8551
Practice Address - Street 1:2015 RESERVOIR ST
Practice Address - Street 2:SUITE 204
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8739
Practice Address - Country:US
Practice Address - Phone:540-221-1846
Practice Address - Fax:540-932-8551
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-29
Last Update Date:2016-07-01
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Provider Licenses
StateLicense IDTaxonomies
VA0810005221103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist