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Contact Information

SHANA L SPENCER, FAODP
400 STODDARD RD.
MEMPHIS, MI48027
 Phone: 810-392-2167
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for SHANA L SPENCER · (Female)

NPI Number 1437211083
Status Active
Credentials FAODP
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # S152765564736
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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