Provider Demographics
NPI:1679696272
Name:ALEXAKIS, YIANOULA (PSYD)
Entity type:Individual
Prefix:DR
First Name:YIANOULA
Middle Name:
Last Name:ALEXAKIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HARVARD CIR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1979
Mailing Address - Country:US
Mailing Address - Phone:561-687-0244
Mailing Address - Fax:561-688-9157
Practice Address - Street 1:5 HARVARD CIR
Practice Address - Street 2:SUITE 109
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1979
Practice Address - Country:US
Practice Address - Phone:561-687-0244
Practice Address - Fax:561-688-9157
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003778103G00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent