Provider Demographics
NPI:1497954952
Name:SPRECHER, NINA P (MFT)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:P
Last Name:SPRECHER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1936 STUART ST
Mailing Address - Street 2:APT 3
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-2231
Mailing Address - Country:US
Mailing Address - Phone:510-587-3207
Mailing Address - Fax:
Practice Address - Street 1:2315 PRINCE ST
Practice Address - Street 2:#3
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1915
Practice Address - Country:US
Practice Address - Phone:510-587-3207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-15
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39350106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist