Doctor Name: | MR. ROBERT DAVID SPULLER |
NPI Number: | 1235282534 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CSWR |
License Number: | 037381 |
Business Practice Address: | 89-b River Road North Tonawanda, NY - 14120 |
Business Phone Number: | 7162788110 |
Business Fax Number: | 7162788111 |
Mailing Address: | 1001 Eleventh Street, Room 172 Trott Access Center NIAGARA FALLS |
State: | NY |
Postal Code: | 14301 |
Phone Number: | 7162788110 |
Fax Number: | 7162788111 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 037381 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |