Provider Demographics
NPI:1063688059
Name:SPRECKER, SANDRA-LEIGH (PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA-LEIGH
Middle Name:
Last Name:SPRECKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 DODGE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:LEMPSTER
Mailing Address - State:NH
Mailing Address - Zip Code:03605-3417
Mailing Address - Country:US
Mailing Address - Phone:603-863-7292
Mailing Address - Fax:
Practice Address - Street 1:449 DODGE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:LEMPSTER
Practice Address - State:NH
Practice Address - Zip Code:03605-3417
Practice Address - Country:US
Practice Address - Phone:603-863-7292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH972103T00000X, 103TC2200X, 101YP2500X
NH61047103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional