Alexander Wellness Group | |
417 Forest St # 476 Kalamazoo MI 49001-2747 | |
(219) 210-0272 | |
Not Available |
Full Name | Alexander Wellness Group |
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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 |
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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 |
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Provider Enumeration Date | 09/08/2023 |
Last Update Date | 10/02/2023 |
Certification Date | 10/02/2023 |
Medicare PECOS PAC ID | 6103357264 |
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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 |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1568155067 PECOS PAC ID: 3870025588 Enrollment ID: I20241019000242 |
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