Individual
DR. MICHAEL B SPELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4835 27TH ST W, SUITE 125, BRADENTON, FL 34207-1768
(941) 753-0064
(941) 753-2977
Mailing address
4835 27TH ST W, SUITE 125, BRADENTON, FL 34207-1768
(941) 753-0064
(941) 753-2977
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY3794
FL
103TC0700X
Clinical Psychologist
Primary
PY 3794
FL
103TH0100X
Health Service Psychologist
PY 3794
FL
Other
Enumeration date
12/22/2006
Last updated
04/11/2022
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