Doctor Name: | DR. MICHAEL B SPELLMAN |
NPI Number: | 1891850772 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY3794 |
Business Practice Address: | 4835 27th St W Suite 125 Bradenton, FL - 342071768 |
Business Phone Number: | 9417530064 |
Business Fax Number: | 9417532977 |
Mailing Address: | 4835 27th St W, Suite 125 BRADENTON |
State: | FL |
Postal Code: | 342071768 |
Phone Number: | 9417530064 |
Fax Number: | 9417532977 |
NPI Enumeration Date: | 12/22/2006 |
NPI Last Update Date: | 10/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PY3794 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |