Provider Demographics
NPI:1932124484
Name:ALEXANDER, DALE EDWARD (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:EDWARD
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 TIMBERLOCH PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1164
Mailing Address - Country:US
Mailing Address - Phone:281-363-1633
Mailing Address - Fax:281-363-3898
Practice Address - Street 1:2204 TIMBERLOCH PL
Practice Address - Street 2:SUITE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1164
Practice Address - Country:US
Practice Address - Phone:281-363-1633
Practice Address - Fax:281-363-3898
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX03/31/08101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health