Doctor Name: | RAYMOND SPEARS |
NPI Number: | 1033382643 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | MH 7585 |
Business Practice Address: | 21 Nw 91st St Branford, FL - 320087283 |
Business Phone Number: | 3869359279 |
Business Fax Number: | |
Mailing Address: | 21 Nw 91st St, BRANFORD |
State: | FL |
Postal Code: | 320087283 |
Phone Number: | 3869359279 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2008 |
NPI Last Update Date: | 02/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 7585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |