Provider Demographics
NPI:1811205156
Name:SPEAR, HELENE (MA CAS)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:SPEAR
Suffix:
Gender:F
Credentials:MA CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 THOMPSON DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10992-1805
Mailing Address - Country:US
Mailing Address - Phone:845-496-6921
Mailing Address - Fax:
Practice Address - Street 1:50 DELAFIELD ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1707
Practice Address - Country:US
Practice Address - Phone:845-452-7726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY723203101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health