Provider Demographics
NPI:1144109893
Name:POLAND, ALEXANDER DOUGLAS
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:DOUGLAS
Last Name:POLAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N LOGAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3163
Mailing Address - Country:US
Mailing Address - Phone:303-529-3240
Mailing Address - Fax:
Practice Address - Street 1:950 N LOGAN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3163
Practice Address - Country:US
Practice Address - Phone:303-529-3240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health