Basic Information
| Provider Information | |||||||||
| NPI: | 1730624123 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCWHINNIE | ||||||||
| FirstName: | ALEXA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 GRIFFIN RD STE 5 | ||||||||
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| City: | PORTSMOUTH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038017145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8007785560 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2300 SOUTHWOOD DR | ||||||||
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| City: | NASHUA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030631818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035774000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2016 | ||||||||
| LastUpdateDate: | 10/06/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | N | Behavioral Health & Social Service Providers | Behavioral Analyst | 208000000X | 079321-23 | NH | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.