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NPI Code Detail

MEDICARE: CHERIE SPANIER, PSY.D., LLC

MEDICARE: CHERIE SPANIER, PSY.D., 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
1103TC2200XClinical Child & Adolescent Psychologist35SIOO464200NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11891935011OTHERNJTYPE 1 NPI NUMBER

General Provider Information

NPI Number : 1780028076
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHERIE SPANIER, PSY.D., LLC
Provider Business Mailing Address
First Line : 1101 RICHMOND AVE
Second Line : SUITE 104
City : POINT PLEASANT BEACH
State : NJ
Zip : 08742-3010
Country : US
Telephone Number : 732-456-0450
Fax Number : 732-295-2280
Provider Business Practice Location Address
First Line : 1101 RICHMOND AVE
Second Line : SUITE 104
City : POINT PLEASANT BEACH
State : NJ
Zip : 08742-3010
Country : US
Telephone Number : 732-456-0450
Fax Number : 732-295-2280
Authorized Official
Title or Position : PSYCHOLOGIST
Name : DR. CHERIE SPANIER
Credential : PSY.D.
Telephone Number : 732-456-0450
Provider Enumeration Date : 04/17/2013
Last Update Date : 04/17/2013

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Directions to “CHERIE SPANIER, PSY.D., LLC ” Practice Location

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