Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alex Holdaway, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1710657069

Dr. Alex Holdaway, PHD is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 2017, 9 years ago. Works from 3 locations. Licensed in Pennsylvania and Virginia.

Years since qualifying
9
Licensed in
PA, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (267) 425-9675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1308 Sherwood Ave, Richmond, VA 23220-1210 — (804) 828-8200
  • 1250 E Marshall St, Richmond, VA 23298-5023 — (804) 828-8200

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PS019029 (PA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 0810008966 (VA)

Record details

NPI number1710657069
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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