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NPI Code Detail

MEDICARE: ELIZABETH SPIES

MEDICARE: ELIZABETH SPIES
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1245939172
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SPIES
Provider Business Mailing Address
First Line : 1208 OAK ST
Second Line :
City : DOVER
State : OH
Zip : 44622-2641
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225 FAIR AVE NE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2837
Country : US
Telephone Number : 330-309-3133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2023
Last Update Date : 02/28/2023

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Directions to “ ELIZABETH SPIES ” Practice Location

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