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NPI Code Detail

MEDICARE: DR. ARTHUR S. SPANGLER JR. SC.D. (PH.D. EQUIV.)

MEDICARE:  DR. ARTHUR S. SPANGLER JR. SC.D. (PH.D. EQUIV.)
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 Psychologist4259MA

General Provider Information

NPI Number : 1720171226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR S. SPANGLER JR. SC.D. (PH.D. EQUIV.)
Provider Business Mailing Address
First Line : 36 WESTON AVE
Second Line : MASS BAY COUNSELING
City : QUINCY
State : MA
Zip : 02170-1833
Country : US
Telephone Number : 617-786-0137
Fax Number : 617-479-4798
Provider Business Practice Location Address
First Line : 36 WESTON AVE
Second Line : MASS BAY COUNSELING
City : QUINCY
State : MA
Zip : 02170-1833
Country : US
Telephone Number : 617-786-0137
Fax Number : 617-479-4798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ARTHUR S. SPANGLER JR. SC.D. (PH.D. EQUIV.)” Practice Location

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