PAIGE SPACKMAN


Address: 16615 S 15th Ln, Phoenix, AZ 85045-0776
Phone: 4807185893

PAIGE SPACKMAN (NPI# 1376790915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376790915
Entity Type Individual
Full Name PAIGE SPACKMAN
Other Name PAIGE SPACKMAN SIX
Credential M.S.,
Practice Address 16615 S 15th Ln
Phoenix
AZ 85045-0776
Practice Telephone 4807185893
Mailing Telephone 4807185893
Enumeration Date 2008-08-26
Last Update Date 2008-08-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
7770 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 16615 S 15TH LN
City PHOENIX
State AZ
Zip Code 85045-0776

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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Competitor

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City PHOENIX
Zip Code 85045

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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