Provider Demographics
NPI:1912620089
Name:SPOONAMORE, TRUTINA MARIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TRUTINA MARIA
Middle Name:
Last Name:SPOONAMORE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GLEN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27596-7406
Mailing Address - Country:US
Mailing Address - Phone:562-394-8900
Mailing Address - Fax:
Practice Address - Street 1:300 SOUTHTOWN CIRCLE
Practice Address - Street 2:POWERFUL PURPOSE PSYCHOLOGICAL & SUPPORT SERVICES PLLC
Practice Address - City:ROLESVILLE
Practice Address - State:NC
Practice Address - Zip Code:27571-2757
Practice Address - Country:US
Practice Address - Phone:562-394-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103503103T00000X
NC103502103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist