Provider Demographics
NPI:1952174526
Name:CRAIG W. SPILLMAN, PH.D., P.C.
Entity Type:Organization
Organization Name:CRAIG W. SPILLMAN, PH.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:SPILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-550-8369
Mailing Address - Street 1:1300 W WALNUT HILL LN STE 200
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3074
Mailing Address - Country:US
Mailing Address - Phone:972-550-8369
Mailing Address - Fax:972-550-8369
Practice Address - Street 1:1300 W WALNUT HILL LN STE 200
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-3074
Practice Address - Country:US
Practice Address - Phone:972-550-8369
Practice Address - Fax:972-550-8369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty