Provider Information for 1932406063
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ONDRIA R SPIVEY LPC-MHSP
Sex: Female
NPI: 1932406063
Last Updated: 2023-12-08
Certification Date: 2023-12-08
Certification Date: 2023-12-08
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1932406063 | ||||||||||||
| Enumeration Date | 2011-02-25 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 431 WHEATLEY RD DANVILLE, VA 24540-1204 United States Phone: 814-656-1031 | Fax: | ||||||||||||
| Primary Practice Address | 235 HAIRSTON ST DANVILLE, VA 24540-4137 United States Phone: 814-656-1031 | Fax: | ||||||||||||
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