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NPI Code Detail

MEDICARE: MRS. DONNA MARIE SPANGLER M.S. CCC-SLP

MEDICARE: MRS. DONNA MARIE SPANGLER M.S. CCC-SLP
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
1235Z00000XSpeech-Language Pathologist009279NY
2235Z00000XSpeech-Language Pathologist009279-1NY

General Provider Information

NPI Number : 1578701215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA MARIE SPANGLER M.S. CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 630
Second Line :
City : EAST GREENBUSH
State : NY
Zip : 12061-0630
Country : US
Telephone Number : 518-233-0544
Fax Number :
Provider Business Practice Location Address
First Line : 673 COLUMBIA TPKE
Second Line :
City : EAST GREENBUSH
State : NY
Zip : 12061-2130
Country : US
Telephone Number : 518-233-0544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2009
Last Update Date : 01/12/2021

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Directions to “ MRS. DONNA MARIE SPANGLER M.S. CCC-SLP” Practice Location

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