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NPI Code Detail

MEDICARE: ALEXA CHRISTINE RADTKE LPC

MEDICARE: ALEXA CHRISTINE RADTKE LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorPC015503PA

General Provider Information

NPI Number : 1871449264
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA CHRISTINE RADTKE LPC
Provider Business Mailing Address
First Line : 704 WOLCOTT DR APT D
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-4322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 850 N 11TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-1957
Country : US
Telephone Number : 215-769-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ ALEXA CHRISTINE RADTKE LPC” Practice Location

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