Healthcare Provider Details

I. General information

NPI: 1477714095
Provider Name (Legal Business Name): DALE ANNE ALEXANDER PHD, LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DALE A ALEXANDER

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 S ARROYO PKWY STE 420
PASADENA CA
91105-3215
US

IV. Provider business mailing address

675 S ARROYO PKWY STE 420
PASADENA CA
91105-3215
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax: 415-296-5299
Mailing address:
  • Phone: 925-282-1778
  • Fax: 415-296-5299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: