Provider Demographics
NPI:1700907466
Name:SPINNER, EILEEN (MA, PLPC)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:
Last Name:SPINNER
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 HERITAGE LNDG STE 212C
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63303-8491
Mailing Address - Country:US
Mailing Address - Phone:636-345-1400
Mailing Address - Fax:636-441-3262
Practice Address - Street 1:1600 HERITAGE LNDG STE 212C
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63303-8491
Practice Address - Country:US
Practice Address - Phone:636-345-1400
Practice Address - Fax:636-441-3262
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007008511101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional