| Doctor Name: | ROBERT BRUCE ALEXANDER |
| NPI Number: | 1194945436 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 2699 |
| Business Practice Address: | 25 Squanto Rd North Eastham, MA - 026510702 |
| Business Phone Number: | 5082558273 |
| Business Fax Number: | |
| Mailing Address: | Po Box 702, 25 Squanto Rd NORTH EASTHAM |
| State: | MA |
| Postal Code: | 026510702 |
| Phone Number: | 5082558273 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | 2699 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |