Gillespie, Alexandra

Gillespie, Alexandra is an individual health care provider with primary practice located at 130 S Main St Ste 119 , Logan UT 84321-5387. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gillespie, Alexandra can be contacted via phone (385) 312-9844.

Contact Information

Primary practice address
130 S Main St Ste 119 Logan UT 84321-5387
Phone: (385) 312-9844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 11603442-3904 Utah

Profile Details

NPI number 1942961586
LBN Legal business name Gillespie, Alexandra
Credentials LMFTA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2022
Last updated Jan 5th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942961586 NPPES
Utah Other 11603442-3904 STATE OF UTAH ASSOCIATE MARRIAGE AND FAMILY THERAPY LICENSE

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