Healthcare Provider Details

I. General information

NPI: 1255640488
Provider Name (Legal Business Name): THE WELLINGTON-ALEXANDER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2010
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9821 E BELL RD SUITE 100
SCOTTSDALE AZ
85260-2344
US

IV. Provider business mailing address

9821 E BELL RD SUITE 100
SCOTTSDALE AZ
85260-2344
US

V. Phone/Fax

Practice location:
  • Phone: 480-629-4461
  • Fax: 480-629-5898
Mailing address:
  • Phone: 480-629-4461
  • Fax: 480-629-5898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANN WELLINGTON ALEXANDER
Title or Position: OWNER
Credential: M.D.
Phone: 480-629-4461