ALEXANDR MICHAEL FEDERER NPI 1639210008

NPI Information

  • NPI: 1639210008
  • Provider Name: ALEXANDR MICHAEL FEDERER
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 323 S MCQUEEN ST
    FLORENCE, SC
    ZIP 29501
  • Phone: (843) 673-0727

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NPI Details

ALEXANDR MICHAEL FEDERER is a clinical psychologist in Florence, SC. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ALEXANDR MICHAEL FEDERER NPI is 1639210008. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

323 S MCQUEEN ST
FLORENCE, SC
ZIP 29501-722
Phone: (843) 673-0727
Fax: (843) 667-1549

The provider's authorized official is Alexandr Michael Federer .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (843) 673-0727.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical569SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PS0173MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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