Daniel, Theodore Alexander
Daniel, Theodore Alexander is an individual health care provider with primary practice located at 1287 Marks Church Rd Suite F, Augusta GA 30909-6330. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Daniel, Theodore Alexander can be contacted via phone (706) 481-8181.Contact Information
Primary practice address
1287 Marks Church Rd Suite F
Augusta GA 30909-6330
Phone: (706) 481-8181
Fax: (706) 650-8427
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1662 | Georgia |
Profile Details
NPI number | 1730138207 |
---|---|
LBN Legal business name | Daniel, Theodore Alexander |
Credentials | PSYCHOLOGIST/PSY.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730138207 | NPPES |
Georgia | MEDICAID | 00546433A |
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