Provider Demographics
NPI:1235344235
Name:SPAEDER, EILEEN COOPER (MSW)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:COOPER
Last Name:SPAEDER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-5040
Mailing Address - Country:US
Mailing Address - Phone:717-273-1710
Mailing Address - Fax:717-273-1416
Practice Address - Street 1:445 GETTYSBURG PIKE
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5169
Practice Address - Country:US
Practice Address - Phone:717-795-8363
Practice Address - Fax:717-796-1466
Is Sole Proprietor?:No
Enumeration Date:2007-05-12
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD070021041C0700X
PACW0141351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical