Provider Demographics
NPI:1588787584
Name:SPECTOR, ALAN B (LPC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:SPECTOR
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9958 WOOD WREN CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-4020
Mailing Address - Country:US
Mailing Address - Phone:703-272-3062
Mailing Address - Fax:
Practice Address - Street 1:9958 WOOD WREN CT
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-4020
Practice Address - Country:US
Practice Address - Phone:703-272-3062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004043101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional