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General NPI Number Information
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NPI Number | 1437705738
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Entity Type | Organization
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Legal Business Name | ALEXANDER MEYER PSYD LLC
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 3250 N ARLINGTON HEIGHTS RD
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1563
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Country | US
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Telephone | 414-795-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 718 W WASHINGTON AVE
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City | LAKE BLUFF
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State | IL
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Zip | 60044-1644
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Country | US
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Telephone | 414-795-8855
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. ALEXANDER MATTHEW MEYER
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Credential | PSYD
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Telephone | 414-795-8855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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