Provider Demographics
NPI:1801607247
Name:SPETT, ALEXANDRA GAIL (LMFT)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:GAIL
Last Name:SPETT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 MAJESTIC CT APT 1108
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-2183
Mailing Address - Country:US
Mailing Address - Phone:805-233-3445
Mailing Address - Fax:
Practice Address - Street 1:51 MAJESTIC CT APT 1108
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-2183
Practice Address - Country:US
Practice Address - Phone:805-233-3445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37465106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist