| Alexandra Ingram, PHD | |
|
1706 Westview Ave, Beaufort, SC 29902-3753 | |
| (843) 575-3139 | |
| Not Available |
| Full Name | Alexandra Ingram |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972861789 PECOS PAC ID: 7416132428 Enrollment ID: O20120801000901 |
| Entity Name | Therapy Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407317795 PECOS PAC ID: 8123361730 Enrollment ID: O20190523000466 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 | |
Anna C Keller, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5600 | |
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 |