MEDICARE: MS. CAROLINE LEIGH SPREITZER LAPC

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	101Y00000X	Counselor	APC001377	PA

General Provider Information

NPI Number	:	1780573915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLINE LEIGH SPREITZER LAPC

Provider Business Mailing Address
First Line	:	50 VALLEYVIEW RD APT 1313
Second Line	:
City	:	CANYON
State	:	TX
Zip	:	79015-1783
Country	:	US
Telephone Number	:	845-978-9578
Fax Number	:

Provider Business Practice Location Address
First Line	:	4021 RIDGE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1879
Country	:	US
Telephone Number	:	845-978-9578
Fax Number	:

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

Provider Enumeration Date	:	07/01/2025
Last Update Date	:	07/01/2025

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