MEDICARE: MRS. MONICA JEANNE SPALKA

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
1	106H00000X	Marriage & Family Therapist	01347	NV

General Provider Information

NPI Number	:	1730402793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MONICA JEANNE SPALKA

Provider Business Mailing Address
First Line	:	1091 CABOOSE CT
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-5812
Country	:	US
Telephone Number	:	775-331-1527
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 E PRATER WAY STE 103
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-8963
Country	:	US
Telephone Number	:	775-331-1527
Fax Number	:	775-331-1527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2010
Last Update Date	:	09/05/2020

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