Provider Demographics
NPI:1821378035
Name:SPERBER, MARK ALDEN (MA, LPC, LMFT-A)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:ALDEN
Last Name:SPERBER
Suffix:
Gender:M
Credentials:MA, LPC, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10911 DUNLAP ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5851
Mailing Address - Country:US
Mailing Address - Phone:832-510-4159
Mailing Address - Fax:
Practice Address - Street 1:3418 MERCER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6527
Practice Address - Country:US
Practice Address - Phone:832-510-4159
Practice Address - Fax:713-961-0797
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65899101YP2500X
TX201651106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist