Individual
DR. MICHELLE SPADER-CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, BCBA-D
Contact information
Practice address
6260 S SUNBURY RD, SUITE 5, WESTERVILLE, OH 43081-9002
(937) 776-9387
Mailing address
6260 S SUNBURY RD STE 5, WESTERVILLE, OH 43081-9003
(614) 852-4152
(614) 852-4151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6516
OH
103TC2200X
Clinical Child & Adolescent Psychologist
6516
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972952463
—
OH
Enumeration date
08/14/2013
Last updated
02/23/2022
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