Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1205021318 |
---|---|
Provider Name | Ms. Ellen Renee Spinner |
First Address | Chandler, AZ 85225-3951 |
Second Address | Phoenix, AZ 85033-4623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2007 |
Last Update Date | 11/09/2007 |