Provider Demographics
NPI:1821349416
Name:SPINGLER, MARJORIE ALICE (SPEC ED TEACHER)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:ALICE
Last Name:SPINGLER
Suffix:
Gender:F
Credentials:SPEC ED TEACHER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 MIDDAUGH RD
Mailing Address - Street 2:
Mailing Address - City:BROOKTONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:14817-9754
Mailing Address - Country:US
Mailing Address - Phone:607-277-0212
Mailing Address - Fax:
Practice Address - Street 1:69 MIDDAUGH RD
Practice Address - Street 2:
Practice Address - City:BROOKTONDALE
Practice Address - State:NY
Practice Address - Zip Code:14817-9754
Practice Address - Country:US
Practice Address - Phone:607-277-0212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCERT.# 370392208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics