Healthcare Provider Details

I. General information

NPI: 1235937749
Provider Name (Legal Business Name): JAMIE SPICER MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2025
Last Update Date: 03/03/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 ORCHID LN
LEVITTOWN PA
19055-1506
US

IV. Provider business mailing address

35 ORCHID LN
LEVITTOWN PA
19055-1506
US

V. Phone/Fax

Practice location:
  • Phone: 267-307-8542
  • Fax:
Mailing address:
  • Phone: 267-307-8542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC018086
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC018086
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: