Provider Demographics
NPI:1912210642
Name:ALEXANDER, JUDITH SARA (MFT)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:SARA
Last Name:ALEXANDER
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 1:3600 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1702
Mailing Address - Country:US
Mailing Address - Phone:415-606-5335
Mailing Address - Fax:707-829-9099
Practice Address - Street 1:3600 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1702
Practice Address - Country:US
Practice Address - Phone:415-606-5335
Practice Address - Fax:707-829-9099
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT22719106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist