Dr. Charles Larson Alexander
Clinical Psychologist
15020 S Ravinia Ave
Orland Park
, Illinois 60462-3166
Dr. Charles Larson Alexander
Clinical Psychologist
15020 S Ravinia Ave
Orland Park
, Illinois 60462-3166
(708) 428-4504
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Charles Larson Alexander
- 19114 Jonathan Ln
- Homewood, IL
- Zip : 60430-4412
- Fax : (708) 428-4504
- Phone : (773) 457-3303
Second Address
- Dr. Charles Larson Alexander
- 15020 S Ravinia Ave
- Orland Park, IL
- Zip : 60462-3166
- Fax : (708) 428-4504
- Phone : (708) 873-9059
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | IL | |
| Y | 103TC0700X | Clinical Psychologist | IL |
National Provider Identifier
| NPI | 1003859554 |
|---|---|
| Provider Name | Dr. Charles Larson Alexander |
| First Address | Homewood, IL 60430-4412 |
| Second Address | Orland Park, IL 60462-3166 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 03/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.