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NPI Code Detail

MEDICARE: MR. ROGER D. SPATZ MA, LPCC S

MEDICARE: MR. ROGER D. SPATZ MA, LPCC S
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
1101YP2500XProfessional CounselorE.004196OH

General Provider Information

NPI Number : 1558336461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROGER D. SPATZ MA, LPCC S
Provider Business Mailing Address
First Line : 555 CINCINNATI BATAVIA PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-1557
Country : US
Telephone Number : 513-752-1555
Fax Number : 513-753-2144
Provider Business Practice Location Address
First Line : 5050 MADISON RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1491
Country : US
Telephone Number : 513-272-2800
Fax Number : 513-272-2807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 10/13/2022

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