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NPI Code Detail

MEDICARE: SAMANTHA SPAGNUOLO, LMHC, LLC

MEDICARE: SAMANTHA SPAGNUOLO, LMHC, LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1669080362
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMANTHA SPAGNUOLO, LMHC, LLC
Provider Business Mailing Address
First Line : 35 VILLAGE RD STE 100
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-1238
Country : US
Telephone Number : 978-222-9855
Fax Number :
Provider Business Practice Location Address
First Line : 35 VILLAGE RD STE 100
Second Line :
City : MIDDLETON
State : MA
Zip : 01949-1238
Country : US
Telephone Number : 978-222-9855
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAMANTHA SPAGNUOLO
Credential : LMHC
Telephone Number : 978-222-9855
Provider Enumeration Date : 07/19/2020
Last Update Date : 06/19/2023

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