Individual
ALEX RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
5046 MEADE ST, DENVER, CO 80221-1034
(631) 806-6117
Mailing address
23 DOROTHY LN, HOLBROOK, NY 11741-3515
(631) 806-6117
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
05606
MD
103TF0200X
Forensic Psychologist
0810005165
VA
103TF0200X
Forensic Psychologist
35SI00597300
NJ
103TF0200X
Forensic Psychologist
Primary
PSY000.4805
CO
103TF0200X
Forensic Psychologist
PSY1000947
DC
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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