Individual
DR. ALEXANDER TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
9810 PATUXENT WOODS DR STE J, COLUMBIA, MD 21046-1595
(443) 923-3892
Mailing address
9810 PATUXENT WOODS DR STE J, COLUMBIA, MD 21046-1595
(443) 923-3892
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06131
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2012
Last updated
12/05/2019
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