Individual
DR. CHARLES LARSON ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
15020 S RAVINIA AVE, ORLAND PARK, IL 60462-3166
(708) 873-9059
(708) 428-4504
Mailing address
19114 JONATHAN LN, HOMEWOOD, IL 60430-4412
(773) 457-3303
(708) 428-4504
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
06/13/2006
Last updated
03/03/2008
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