| Doctor Name: | MR. LETRON R. ALEXANDER |
| NPI Number: | 1780066001 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SCHOOL PSYCHOLOGIST |
| License Number: | 4527781 |
| Business Practice Address: | Route 264 & Highway 191 Ganado, AZ - 865050457 |
| Business Phone Number: | 9287554500 |
| Business Fax Number: | 9287554659 |
| Mailing Address: | Po Box 457, GANADO |
| State: | AZ |
| Postal Code: | 865050457 |
| Phone Number: | 9287554500 |
| Fax Number: | 9287554659 |
| NPI Enumeration Date: | 06/23/2015 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 4527781 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |