Doctor Name: | MR. JOSEPH MICHAEL SPINALE |
NPI Number: | 1477828010 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | KY-1007 |
Business Practice Address: | 356 N Logsdon Pkwy Radcliff, KY - 401602724 |
Business Phone Number: | 2705055604 |
Business Fax Number: | |
Mailing Address: | 356 N Logsdon Pkwy, RADCLIFF |
State: | KY |
Postal Code: | 401602724 |
Phone Number: | 2705055604 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2012 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | KY-1007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |