Provider Demographics
NPI:1194853267
Name:SPANGLER, MELISSA M (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:M
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8442 MAURER RD
Mailing Address - Street 2:APT 1225
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-2736
Mailing Address - Country:US
Mailing Address - Phone:913-944-7977
Mailing Address - Fax:
Practice Address - Street 1:505 S HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071-1850
Practice Address - Country:US
Practice Address - Phone:913-557-9096
Practice Address - Fax:913-294-9247
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMFT 907106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist