Provider Demographics
NPI:1457972390
Name:ALEXANDER PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:ALEXANDER PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:ALEXANDER AND ASSOCIATES PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-270-1950
Mailing Address - Street 1:PO BOX 257
Mailing Address - Street 2:PMB 9218
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98507
Mailing Address - Country:US
Mailing Address - Phone:253-270-1950
Mailing Address - Fax:
Practice Address - Street 1:1002 N MERIDIAN
Practice Address - Street 2:SUITE 100 PMB 128
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-4409
Practice Address - Country:US
Practice Address - Phone:253-270-1950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty