Individual
PAIGE SPACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,
Contact information
Practice address
16615 S 15TH LN, PHOENIX, AZ 85045-0776
(480) 718-5893
Mailing address
16615 S 15TH LN, PHOENIX, AZ 85045-0776
(480) 718-5893
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
7770
AZ
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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