| NPI | 1003028119 |
|---|---|
| Former Legal Business Name | NANCY T SPENCER PSYD, PA |
| Entity Type | Organization |
| Authorized Contact | BRENDA K SLUDER Office Billing Administrator 239-887-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-02-05 |