Provider Demographics
NPI:1275544504
Name:SPIRITO, ANGELICA (MA)
Entity Type:Individual
Prefix:MS
First Name:ANGELICA
Middle Name:
Last Name:SPIRITO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 MARNE ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-3661
Mailing Address - Country:US
Mailing Address - Phone:401-272-7259
Mailing Address - Fax:
Practice Address - Street 1:420 FRUIT HILL AVE.
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02911-3914
Practice Address - Country:US
Practice Address - Phone:401-353-3900
Practice Address - Fax:401-784-3549
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health