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Contact Information

ALEXANDER PROFESSIONAL
2633 STATE ROUTE 59
SUITE E
RAVENNA, OH44266-1684
 Phone: 330-296-2829
 Fax: 330-541-2732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALEXANDER PROFESSIONAL · (Female)

NPI Number 1740387828
Status Active
Credentials
Entity Individual
Enumeration date 09/20/2006
Last updated 04/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 3504
  • OH Medicaid 0450962
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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