Provider Demographics
NPI:1316552128
Name:SPAULDING, MICHAELA LINDA (MA)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:LINDA
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:TANJIRA
Other - Middle Name:
Other - Last Name:SPAULDING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:270 GROVE ST APT 6
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-2253
Mailing Address - Country:US
Mailing Address - Phone:831-233-1141
Mailing Address - Fax:
Practice Address - Street 1:386 STANLEY ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-6009
Practice Address - Country:US
Practice Address - Phone:831-233-1141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor