Provider Demographics
NPI:1851152151
Name:SPAEDER, ALLISON HOPE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:ALLISON
Middle Name:HOPE
Last Name:SPAEDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:324 MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2251
Mailing Address - Country:US
Mailing Address - Phone:484-680-0944
Mailing Address - Fax:
Practice Address - Street 1:130 S BRYN MAWR AVE # 203
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3143
Practice Address - Country:US
Practice Address - Phone:484-565-1048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant