Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 1408 | AL |
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1408 | AL |
Y | 103G00000X | Clinical Psychologist | 1408 | AL |
Y | 103TC0700X | Clinical Psychologist | 1408 | AL |
N | 103TF0000X | Family Psychologist | 1408 | AL |
N | 103TH0004X | Health Psychologist | 1408 | AL |
N | 103TP2701X | Group Psychotherapist | 1408 | AL |
N | 103TR0400X | Rehabilitation Psychologist | 1408 | AL |
NPI | 1174566855 |
---|---|
Provider Name | Craig Joseph Alexander |
First Address | Birmingham, AL 35242-6418 |
Second Address | Birmingham, AL 35242-6418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 27/08/2012 |