Doctor Name: | DR. ALEXANDER I BABANI |
NPI Number: | 1326346214 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | 0138181 |
Business Practice Address: | 785 Anthony Drive Anthony, NM - 88021 |
Business Phone Number: | 5758825100 |
Business Fax Number: | |
Mailing Address: | 222 Bartlett Dr Apt 605, EL PASO |
State: | TX |
Postal Code: | 799121610 |
Phone Number: | 5052851262 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2011 |
NPI Last Update Date: | 05/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0138181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |