Doctor Name: | MR. BRIAN SPEARS |
NPI Number: | 1003215773 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, PCC-S |
License Number: | E0800347 |
Business Practice Address: | 10700 Montgomery Rd Cincinnati, OH - 452423255 |
Business Phone Number: | 5134898898 |
Business Fax Number: | 5133853771 |
Mailing Address: | 10700 Montgomery Rd, CINCINNATI |
State: | OH |
Postal Code: | 452423255 |
Phone Number: | 5134898898 |
Fax Number: | 5133853771 |
NPI Enumeration Date: | 08/19/2014 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0800347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |