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Individual

DR. JONATHAN SPEARE

Active
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Individual

DR. JONATHAN SPEARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD LICENSED PSYCHOL

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0655
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000512001
MAGELLAN
MN
01
074048
VALUE OPTIONS
MN
01
100318
PREFERRED ONE
MN
01
110500
UCARE
MN
01
6101470
UNITED BEHAVIORAL HEALTH
MN
05
850347800
MN
01
8L597SP
BCBS
MN
Enumeration date
02/23/2007
Last updated
08/10/2010
Update your record

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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