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NPI Code Detail

MEDICARE: NICHOL MARIE SPAINHOWER

MEDICARE: NICHOL MARIE SPAINHOWER
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1285722827
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOL MARIE SPAINHOWER
Provider Business Mailing Address
First Line : 3125 MYERS ST BLDG 3
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-5527
Country : US
Telephone Number : 951-358-5810
Fax Number :
Provider Business Practice Location Address
First Line : 3125 MYERS ST BLDG 3
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-5527
Country : US
Telephone Number : 951-358-5810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 10/04/2022

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Directions to “ NICHOL MARIE SPAINHOWER ” Practice Location

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