Provider Demographics
NPI:1346469707
Name:SPELLER, MARSHA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:LYNN
Last Name:SPELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 CONTINENTAL DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4334
Mailing Address - Country:US
Mailing Address - Phone:302-368-3228
Mailing Address - Fax:302-368-0773
Practice Address - Street 1:200 CONTINENTAL DR
Practice Address - Street 2:SUITE 203
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4334
Practice Address - Country:US
Practice Address - Phone:302-368-3228
Practice Address - Fax:302-368-0773
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-00026852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEC1-0002685OtherSTATE MEDICAL LICENSE NUM