Provider Demographics
NPI:1912605908
Name:SPICELAND, ALLISON RUTH (MA)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:RUTH
Last Name:SPICELAND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2463 ROBERTSON AVE NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2345
Mailing Address - Country:US
Mailing Address - Phone:206-351-1064
Mailing Address - Fax:
Practice Address - Street 1:2463 ROBERTSON AVE NE
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-2345
Practice Address - Country:US
Practice Address - Phone:206-351-1064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health