Stephen Spearman
Individual provider Active NPI School Psychologist · Ninety Six, SC
NPI 1295289130 · NPPES record last updated Aug 9, 2016
Key facts
- NPI
- 1295289130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 3186 (SC)
- Practice address
- 1214 Watts Bridge Rd
Ninety Six, SC 29666-8707 - Phone
- (864) 993-1495
- NPI assigned
- Aug 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3186 | SC | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3186 | SC | Yes |
Addresses
Primary practice location
1214 Watts Bridge Rd
Ninety Six, SC 29666-8707
Mailing address
1214 Watts Bridge Rd
Ninety Six, SC 29666-8707
Other providers in Ninety Six, SC
- Self Medical Group
- Self Regional Healthcare
- Self Regional Healthcare
- Dora Smith
- Songbird Therapy, LLC
- Jared Preston Tavernier
- Roxie Taylor
- Carolyn Hines Turner
- Mary Turner
- Patricia M Vaughn-Goodman
All providers in Ninety Six, SC · School Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.