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NPI Code Detail

MEDICARE: LEANNE SPENCER LPC

MEDICARE:   LEANNE  SPENCER  LPC
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
1101YM0800XMental Health Counselor13897TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205933009
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNE SPENCER LPC
Provider Business Mailing Address
First Line : 4904 HIBISCUS VALLEY DR
Second Line :
City : AUSTIN
State : TX
Zip : 78739-1476
Country : US
Telephone Number : 512-879-7761
Fax Number :
Provider Business Practice Location Address
First Line : 4904 HIBISCUS VALLEY DR
Second Line :
City : AUSTIN
State : TX
Zip : 78739-1476
Country : US
Telephone Number : 512-879-7761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 09/03/2010

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Directions to “ LEANNE SPENCER LPC” Practice Location

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