Spencer, Allison
Spencer, Allison is an individual health care provider with primary practice located at 3048 E Baseline Rd Ste 107 , Mesa AZ 85204-7287. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Spencer, Allison can be contacted via phone (480) 482-1838.Contact Information
Primary practice address
3048 E Baseline Rd Ste 107
Mesa AZ 85204-7287
Phone: (480) 482-1838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13703 | Arizona |
Profile Details
| NPI number | 1063765964 |
|---|---|
| LBN Legal business name | Spencer, Allison |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2012 |
| Last updated | Aug 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063765964 | NPPES |
| Arizona | MEDICAID | 749048 |
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