Provider Demographics
NPI:1982328522
Name:SPAULDING, DANA ELIZABETH
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:ELIZABETH
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11380 S VIRGINIA ST APT 1321
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8261
Mailing Address - Country:US
Mailing Address - Phone:530-401-3141
Mailing Address - Fax:
Practice Address - Street 1:4600 KIETZKE LN STE G170
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-5041
Practice Address - Country:US
Practice Address - Phone:775-507-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8944-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker