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 | 2024-12-16 |