Provider Demographics
NPI:1992166961
Name:ALEXANDER, RONALD ADEN (PHD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ADEN
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:RON
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:712 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-4214
Mailing Address - Country:US
Mailing Address - Phone:805-963-2621
Mailing Address - Fax:
Practice Address - Street 1:206 W ANAPAMU ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3605
Practice Address - Country:US
Practice Address - Phone:805-895-7351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12557103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist