Individual
DR. ALEXANDRA NICOLE WEAVERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1010 GRAYSON ST STE 3, BERKELEY, CA 94710-2611
(415) 475-9355
Mailing address
617 VETERANS BLVD STE 204, REDWOOD CITY, CA 94063-1419
(415) 475-9355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSB94025519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSB94025519
REGISTERED PSYCHOLOGICAL ASSISTANT
CA
Enumeration date
06/04/2021
Last updated
06/04/2021
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