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NPI Code Detail

MEDICARE: DR. CHERIE L. SPANIER PSY.D.

MEDICARE: DR. CHERIE L. SPANIER PSY.D.
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
1103T00000XPsychologist00464200NJ

General Provider Information

NPI Number : 1891935011
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERIE L. SPANIER PSY.D.
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 : 732-616-0905
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 : 732-616-0905
Fax Number : 732-295-2280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2009
Last Update Date : 02/27/2009

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