Provider Demographics
NPI:1154659985
Name:SPEARMAN-CAMBLARD, DANIELLE R (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:R
Last Name:SPEARMAN-CAMBLARD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:R
Other - Last Name:CAMBLARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:7400 BEAUFONT SPRINGS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5519
Mailing Address - Country:US
Mailing Address - Phone:888-436-8836
Mailing Address - Fax:860-955-1611
Practice Address - Street 1:7400 BEAUFONT SPRINGS DR STE 300
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-5519
Practice Address - Country:US
Practice Address - Phone:844-469-3327
Practice Address - Fax:860-955-1611
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-07
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4025103T00000X
VA0810007537103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA3001565298Medicaid
CT008102775Medicaid