Individual
CONSTANCE L SPICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
307
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040483
BLUE CROSS
SD
01
—
10666
MIDLANDS CHOICE
SD
05
—
12200
—
ND
01
—
140M9SP
CC SYSTEMS/ BLUE PLUS
MN
01
—
142413
UCARE
MN
05
—
1958108
—
IA
01
—
25059
ARAZ/ AMERICA'S PPO
SD
05
—
2633225
—
OH
01
—
28561
SANFORD HEALTH PLAN
SD
01
—
412991028160
PREFERRED ONE
SD
05
—
46022474352
—
NE
01
—
57108C007
WPS TRICARE
SD
01
—
680015315
RR MEDICARE
SD
05
—
901553100
—
MN
01
—
HP41055
HEALTHPARTNERS
SD
01
—
P307
DAKOTACARE
SD
Enumeration date
02/07/2006
Last updated
12/11/2013
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