Provider Demographics
NPI:1942621669
Name:SPIER, KERRI (MA, LCDP,)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:
Last Name:SPIER
Suffix:
Gender:F
Credentials:MA, LCDP,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 LINDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-5713
Mailing Address - Country:US
Mailing Address - Phone:401-714-2716
Mailing Address - Fax:
Practice Address - Street 1:23 BROWN ST
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-5057
Practice Address - Country:US
Practice Address - Phone:401-752-9504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00566101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)