Suzette Marie Spence, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35422 Issued in CA

Practice address

242 W Main St Ste 105
Tustin, CA 92780-7715

Phone

(714) 801-6850

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528087079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARRISBURG",
            "address_2": "IRVINE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202620",
            "telephone_number": "714-801-6850",
            "fax_number": "949-387-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 W MAIN ST STE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807715",
            "telephone_number": "714-801-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "SUZETTE",
        "middle_name": "MARIE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "35422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Psychiatric Associates
• Southern California Psychological
• Alyson Spain
• Specialized Physical Therapy, Apc
• Speech Language Pathology
• Spine and Pain Care Medical Associates Inc
• Ivanka Srbinovska, DDS
• Sumeet Kumar Srivastava, D.D.S.
• David Anthony St. John, RRW
• Nikki Dionne Pil Sta Teresa

• Marriage & Family Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.