Provider Demographics
NPI:1063585438
Name:ALEXANDER, ALBERT BARNARD JR (PHD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:BARNARD
Last Name:ALEXANDER
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:A
Other - Middle Name:BARNEY
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:8790 W COLFAX AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-4003
Mailing Address - Country:US
Mailing Address - Phone:303-234-0827
Mailing Address - Fax:303-234-1771
Practice Address - Street 1:8790 W COLFAX AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4003
Practice Address - Country:US
Practice Address - Phone:303-234-0827
Practice Address - Fax:303-234-1771
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO353103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO95676Medicare ID - Type Unspecified
COR21386Medicare UPIN