Alexander Professional
Organization Active NPI Clinical Psychologist · Ravenna, OH
NPI 1740387828 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1740387828
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3504 (OH)
- Legal business name
- ALEXANDER PROFESSIONAL
- Practice address
- 2633 State Route 59
Suite E
Ravenna, OH 44266-1684 - Phone
- (330) 296-2829
- Fax
- (330) 541-2732
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. John Edward Alexander, PH.D
- Title
- Owner
- Phone
- (330) 296-2809
National Provider Directory
Locations
2633 State Route 59
Ste E
Ravenna, OH 44266
Phone (330) 296-2809
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 3504 | OH | Yes |
Addresses
Primary practice location
2633 State Route 59
Suite E
Ravenna, OH 44266-1684
Mailing address
PO Box 1474
Kent, OH 44240-0028
Phone (330) 296-2809
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0450962 | Medicaid | OH |
Other providers in Ravenna, OH
- Joseph Agati
- Aging With Resilience
- Ramy Ahmed
- Shafeen Ahmed
- Bianca Albarado
- John Edward Alexander
- Robert Lee Alexander
- Pamela Louise Alkins
- All Things Creative Therapy LLC
- Rabeena Alli
All providers in Ravenna, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.