MEDICARE: BRIANNA DELLINGER SPENCER LMFT

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	742	NH
2	106H00000X	Marriage & Family Therapist	153255	CA

General Provider Information

NPI Number	:	1083461826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA DELLINGER SPENCER LMFT

Provider Business Mailing Address
First Line	:	149 FOUR WINDS FARM RD
Second Line	:
City	:	PETERBOROUGH
State	:	NH
Zip	:	03458-1301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1614 AVALON ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-1816
Country	:	US
Telephone Number	:	310-570-8503
Fax Number	:

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

Provider Enumeration Date	:	04/30/2024
Last Update Date	:	01/22/2026

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