Crockett, Alexandra

Crockett, Alexandra is an individual health care provider with primary practice located at 710 S Broadway Ste 300 , Walnut Creek CA 94596-5229. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Crockett, Alexandra can be contacted via phone (925) 295-4145.

Contact Information

Primary practice address
710 S Broadway Ste 300 Walnut Creek CA 94596-5229
Phone: (925) 295-4145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY30646 California

Profile Details

NPI number 1467865170
LBN Legal business name Crockett, Alexandra
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2014
Last updated Jan 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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