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General NPI Number Information
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NPI Number | 1265573000
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Entity Type | Organization
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Legal Business Name | SUSAN ELAINE ALEXANDER, PH.D.,LLC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 134 MAIN ST SUITE 2C
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1652
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Country | US
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Telephone | 908-788-7889
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Fax | 908-788-0840
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Provider Business Mailing Address
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Address Line | 134 MAIN ST SUITE 2C
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1652
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Country | US
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Telephone | 908-788-7889
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Fax | 908-788-0840
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Authorized Official
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Title or Position | OWNER,SOLE PROPRIETER
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Name | DR. SUSAN ELAINE ALEXANDER
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Credential | PH.D.
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Telephone | 908-788-7889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | SI03384
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | SI00384
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License Number State | NJ
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