Provider Demographics
NPI:1447606975
Name:SPIEL, SHIRA NINA (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHIRA
Middle Name:NINA
Last Name:SPIEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 W 86TH ST APT 104
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3696
Mailing Address - Country:US
Mailing Address - Phone:917-830-7351
Mailing Address - Fax:
Practice Address - Street 1:51 W 86TH ST APT 104
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3696
Practice Address - Country:US
Practice Address - Phone:917-830-7351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist