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NPI Code Detail

MEDICARE: MS. SHAUNA LEE SPELLMAN CPI

MEDICARE:  MS. SHAUNA LEE SPELLMAN  CPI
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
1103TC0700XClinical PsychologistCPICA

General Provider Information

NPI Number : 1194910208
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHAUNA LEE SPELLMAN CPI
Provider Business Mailing Address
First Line : 525 W AVENUE P4
Second Line :
City : PALMDALE
State : CA
Zip : 93551-3743
Country : US
Telephone Number : 661-223-3800
Fax Number :
Provider Business Practice Location Address
First Line : 525 W AVENUE P4
Second Line :
City : PALMDALE
State : CA
Zip : 93551-3743
Country : US
Telephone Number : 661-223-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2007
Last Update Date : 01/29/2026

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Directions to “ MS. SHAUNA LEE SPELLMAN CPI” Practice Location

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