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NPI Code Detail

MEDICARE: MS. DENYSE G SPEER LCSW

MEDICARE: MS. DENYSE G SPEER LCSW
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
11041C0700XClinical Social WorkerCW015165PA

General Provider Information

NPI Number : 1952327660
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENYSE G SPEER LCSW
Provider Business Mailing Address
First Line : 4 DOE CIR
Second Line :
City : NEW COLUMBIA
State : PA
Zip : 17856-9601
Country : US
Telephone Number : 570-568-2470
Fax Number :
Provider Business Practice Location Address
First Line : 816 CENTRAL RD
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-8976
Country : US
Telephone Number : 570-387-1832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 07/08/2007

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