Provider Demographics
NPI:1770647950
Name:SPENCER DEES, KAREN JOY (PHD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JOY
Last Name:SPENCER DEES
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 1:2 GLENNEAGLE DR
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-4120
Mailing Address - Country:US
Mailing Address - Phone:508-477-5343
Mailing Address - Fax:508-477-5673
Practice Address - Street 1:2 GLENNEAGLE DR
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-4120
Practice Address - Country:US
Practice Address - Phone:508-477-5343
Practice Address - Fax:508-477-5673
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR31422103133NN1002X
AR42442103133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education