Dorothy Spafford, PH.D.
Individual provider Active NPI Psychologist · Pikeville, TN
NPI 1972801637 · NPPES record last updated Jul 12, 2013
Key facts
- NPI
- 1972801637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY24171 (CA)
- Practice address
- 1405 Horsehead Rd
Pikeville, TN 37367 - Phone
- (423) 881-3251
- NPI assigned
- Mar 4, 2011
- Reactivated
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24171 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY24171 | CA | Yes |
Addresses
Primary practice location
1405 Horsehead Rd
Pikeville, TN 37367
Mailing address
PO Box 150
Crossville, TN 38557-0150
Other providers in Pikeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2013. 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.