Healthcare Provider Details

I. General information

NPI: 1265573000
Provider Name (Legal Business Name): SUSAN ELAINE ALEXANDER, PH.D.,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 MAIN ST SUITE 2C
FLEMINGTON NJ
08822-1652
US

IV. Provider business mailing address

134 MAIN ST SUITE 2C
FLEMINGTON NJ
08822-1652
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-7889
  • Fax: 908-788-0840
Mailing address:
  • Phone: 908-788-7889
  • Fax: 908-788-0840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberSI03384
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberSI00384
License Number StateNJ

VIII. Authorized Official

Name: DR. SUSAN ELAINE ALEXANDER
Title or Position: OWNER,SOLE PROPRIETER
Credential: PH.D.
Phone: 908-788-7889