| Organization Name: | STEPHANIE J. SPACKEY, LTD. |
| NPI Number: | 1306048772 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE JOY SPACKEY (PRESIDENT) |
| Mailing Address: | 445 W Jackson Ave Ste 206 Naperville |
| State: | IL US |
| Postal Code: | 605405258 |
| Phone Number: | 6304202596 |
| Fax Number: | 6304202796 |
| NPI Enumeration Date: | 06/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |