NPI 1003859554

Charles Larson Alexander, PSYD

Practitioner Clinical Psychologist Orland Park, IL

Practice location

Address: 15020 S Ravinia Ave, Orland Park, IL 60462-3166
Phone: (708) 873-9059
Fax: (708) 428-4504
Mailing address: 19114 Jonathan Ln, Homewood, IL 60430-4412

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Other Psychologist providers in Illinois →

Registry record

NPI: 1003859554
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2006
Record last updated: 3 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.