Provider Demographics
NPI:1235231937
Name:SPITZER, RICHARD (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:SPITZER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 HARRIS AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98227
Mailing Address - Country:US
Mailing Address - Phone:360-671-1966
Mailing Address - Fax:360-756-2706
Practice Address - Street 1:1106 HARRIS AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-319-7938
Practice Address - Fax:360-756-2706
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA937103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist