Doctor Name: | LINDA JEAN SPANOS |
NPI Number: | 1073633889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 350 Sharon New Castle Rd Farrell, PA - 161211576 |
Business Phone Number: | 7249818070 |
Business Fax Number: | |
Mailing Address: | 530 N Neshannock Rd, HERMITAGE |
State: | PA |
Postal Code: | 161489335 |
Phone Number: | 7244569774 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |