MEDICARE: MS. ALLISON BRENNAN SPITALE M.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
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1174512099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALLISON BRENNAN SPITALE M.S,

Provider Business Mailing Address
First Line	:	1800 ZOLLINGER RD
Second Line	:	MATERNAL FETAL MEDICINE 4TH FLOOR
City	:	COLUMBUS
State	:	OH
Zip	:	43221-2849
Country	:	US
Telephone Number	:	614-688-9551
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 ZOLLINGER RD
Second Line	:	MATERNAL FETAL MEDICINE 4TH FLOOR
City	:	COLUMBUS
State	:	OH
Zip	:	43221-2849
Country	:	US
Telephone Number	:	614-688-9551
Fax Number	:

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

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	11/16/2016

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