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Individual

DR. THOMAS J SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY D

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2003030098
MO
103TC0700X
Clinical Psychologist
2003030098
MO
103TF0200X
Forensic Psychologist
2003030098
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
498312305
MO
Enumeration date
01/16/2007
Last updated
03/28/2017
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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