Doctor Name: | TODD HENRY SPANGLER |
NPI Number: | 1427033711 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 0099301 |
Business Practice Address: | 10 Seminary St Cazenovia, NY - 130351015 |
Business Phone Number: | 3156557121 |
Business Fax Number: | 3156557387 |
Mailing Address: | 4076 Cody Rd, CAZENOVIA |
State: | NY |
Postal Code: | 130359768 |
Phone Number: | 3156849862 |
Fax Number: | 3156557387 |
NPI Enumeration Date: | 12/09/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0099301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |