Provider Demographics
NPI:1033688999
Name:SPRUILL, DAVID ANDREW (PHD, LMFT-S, LPC-S)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANDREW
Last Name:SPRUILL
Suffix:
Gender:M
Credentials:PHD, LMFT-S, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 MASTERS DR
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-3843
Mailing Address - Country:US
Mailing Address - Phone:337-330-2040
Mailing Address - Fax:
Practice Address - Street 1:1011 HARDING ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2411
Practice Address - Country:US
Practice Address - Phone:337-482-6414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist