| Doctor Name: | MR. JAMES SPENCER |
| NPI Number: | 1013269968 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSB |
| License Number: | S31735186 |
| Business Practice Address: | 29 Catlin Rd Brookline, MA - 024455748 |
| Business Phone Number: | 6172774367 |
| Business Fax Number: | 6172774369 |
| Mailing Address: | 29 Catlin Rd, BROOKLINE |
| State: | MA |
| Postal Code: | 024455748 |
| Phone Number: | 6172774367 |
| Fax Number: | 6172774369 |
| NPI Enumeration Date: | 10/02/2012 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 374K00000X |
| License Number: | S31735186 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Religious Nonmedical Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence. |