Healthcare Provider Details

I. General information

NPI: 1912955543
Provider Name (Legal Business Name): PATRICIA ANN ALEXANDER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/03/2025
Certification Date: 08/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIT 6180 BOX 31ST
APO AE
09604-6180
US

IV. Provider business mailing address

31ST MEDICAL GROUP/SGST UNIT 6180 APO, AE 09604-6180
APO AE ITALY
09603
IT

V. Phone/Fax

Practice location:
  • Phone: 253-970-1669
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2605
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: