| Organization Name: | KATHLEEN C. SPADARO LLC |
| NPI Number: | 1942387220 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN C SPADARO (SOLE OWNER) |
| Mailing Address: | 5035 Old William Penn Hwy Export |
| State: | PA US |
| Postal Code: | 156329348 |
| Phone Number: | 7247333491 |
| Fax Number: | 7247333498 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 08/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | RN334294L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |