Provider Demographics
NPI:1184057846
Name:SPITZER-HANKS, STEPHANIE (CD(DONA), CLC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:SPITZER-HANKS
Suffix:
Gender:F
Credentials:CD(DONA), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 RUTH AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-2620
Mailing Address - Country:US
Mailing Address - Phone:512-552-8531
Mailing Address - Fax:
Practice Address - Street 1:1300 RUTH AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-2620
Practice Address - Country:US
Practice Address - Phone:512-552-8531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
MAALPP ID 202943174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN