Individual
ALEXANDRA HOTETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(909) 672-6329
Mailing address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(909) 672-6329
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6758
—
CA
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
09/08/2021
Last updated
10/13/2025
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