Provider Demographics
NPI:1750804092
Name:ALEXANDER, DEBORAH LANETTE (HAIR SPECIALIST)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LANETTE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:HAIR SPECIALIST
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:L
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HAIR LOSS SPECIALIST
Mailing Address - Street 1:827 FLORETINE DR.
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215
Mailing Address - Country:US
Mailing Address - Phone:205-593-3320
Mailing Address - Fax:
Practice Address - Street 1:827 FLORETINE DR.
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215
Practice Address - Country:US
Practice Address - Phone:205-593-3320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1744P3200X
AL1744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty