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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730138207 NPPES
Georgia MEDICAID 00546433A

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