Doctor Name: | DARLENE SPENCER |
NPI Number: | 1043527419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | INTERNSHIP |
License Number: | |
Business Practice Address: | 494 Appleton St. Community Based Flexible Support Holyoke, MA - 01040 |
Business Phone Number: | 4135321456 |
Business Fax Number: | |
Mailing Address: | 143 Florida Dr, AGAWAM |
State: | MA |
Postal Code: | 010013565 |
Phone Number: | 4137890111 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2010 |
NPI Last Update Date: | 09/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |