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Organization

MICHELLE SPADER, PSYD, BCBA-D, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE SPADER PSYD, BCBA-D (PSYCHOLOGIST/FOUNDER)
(614) 852-4152
Entity
Organization

Contact information

Practice address
6260 S SUNBURY RD, SUITE 5, WESTERVILLE, OH 43081-9002
(614) 852-4152
(614) 852-4151
Mailing address
6260 S SUNBURY RD, SUITE 5, WESTERVILLE, OH 43081-9002
(614) 852-4152
(614) 852-4151

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6516
OH
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6516
OH
103TM1800X
Intellectual & Developmental Disabilities Psychologist
6516
OH

Other

Enumeration date
06/06/2016
Last updated
06/06/2016
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