Individual
DR. ALEXANDER JOSEPH HINNEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4758 LYNNVILLE WAY, CLAY, NY 13041-8990
(240) 274-0012
Mailing address
4758 LYNNVILLE WAY, CLAY, NY 13041-8990
(240) 274-0012
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
P.07748
OH
103T00000X
Psychologist
P.07748
OH
103TC0700X
Clinical Psychologist
Primary
025389-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
6301016833
MI
Other
Enumeration date
02/19/2018
Last updated
12/21/2022
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