Individual
AIXA E FRETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR
Contact information
Practice address
2309 W. MARTIN LUTHER KING JR. BLVD, SUITE 3, TAMPA, FL 33607-3360
(813) 570-3609
(813) 607-2005
Mailing address
PO BOX 5501, SPRING HILL, FL 34611-5501
(813) 570-3609
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
5928
PR
103T00000X
Psychologist
TPPY-152
FL
106H00000X
Marriage & Family Therapist
Primary
IMT-4000
FL
Other
Enumeration date
11/20/2017
Last updated
11/09/2023
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