Individual
DR. ALEXANDER FORTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D. MS, M.ED
Contact information
Practice address
416 PONCE DE LEON AVE., UNION PLAZA BUILDING, SUITE 1511, SAN JUAN, PR 00918
(787) 404-5432
Mailing address
100 CALLE MABU, CIUDAD JARDIN, JUNCOS, PR 00777-4612
(787) 404-5432
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5206
PR
Other
Enumeration date
08/01/2013
Last updated
05/17/2016
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