Alexander Scott Alvarez, PH.D.

Individual provider Active NPI Clinical Psychologist · Saint Louis, MO

NPI 1982992020 · NPPES record last updated Mar 6, 2024

Key facts

NPI
1982992020
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
1321 (OK)
Practice address
1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181
Phone
(314) 652-4100
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1321OKMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 1321 OK Yes

Addresses

Primary practice location

1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181

Mailing address

1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181
Phone (314) 652-4100

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Clinical Psychologist in Missouri

Sources for this page

Verify at the official NPI Registry.