Doctor Name: | GRAHAM L SPRUIELL |
NPI Number: | 1083683130 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 52192 |
Business Practice Address: | Valley Regional Medical Services 70 East Street Methuen, MA - 01844 |
Business Phone Number: | 9786880773 |
Business Fax Number: | 9786816173 |
Mailing Address: | Valley Regional Medical Services, P.o. Box 414060 BOSTON |
State: | MA |
Postal Code: | 022410001 |
Phone Number: | 6175625460 |
Fax Number: | 6175625480 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 52192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |