| Alexander Wellness Group | |
|
417 Forest St # 476 Kalamazoo MI 49001-2747 | |
| (219) 210-0272 | |
| Not Available |
| Full Name | Alexander Wellness Group |
|---|---|
| Speciality | Psychologist |
| Location | 417 Forest St # 476, Kalamazoo, Michigan |
| Authorized Official Name and Position | Thomas L Alexander (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2192100272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Wellness Group 417 Forest St # 476 Kalamazoo MI 49001-2747 Ph: (219) 210-0272 | Alexander Wellness Group 417 Forest St # 476 Kalamazoo MI 49001-2747 Ph: (219) 210-0272 |
| NPI Number | 1467239996 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 6103357264 |
|---|---|
| Medicare Enrollment ID | O20241001001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467239996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Thomas L Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568155067 PECOS PAC ID: 3870025588 Enrollment ID: I20241019000242 |
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