Doctor Name: | DR. A. ALEXANDER BEAUJEAN |
NPI Number: | 1538287586 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 33540 |
Business Practice Address: | 700 Sapphire Blvd Hewitt, TX - 766432999 |
Business Phone Number: | 2546662890 |
Business Fax Number: | |
Mailing Address: | 700 Sapphire Blvd, HEWITT |
State: | TX |
Postal Code: | 766432999 |
Phone Number: | 2546662890 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 01/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 33540 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |