Individual
ALEXANDER R JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
118 S MAIN ST, EDWARDSVILLE, IL 62025-1904
(618) 656-0696
(618) 656-9697
Mailing address
118 S MAIN ST, EDWARDSVILLE, IL 62025-1904
(618) 656-0696
(618) 656-9697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-003362
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216384
PTAN
—
01
—
6170605
BC/BS ID NUMBER
IL
Enumeration date
09/01/2006
Last updated
08/22/2014
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