Basic Information
Provider Information
NPI: 1528284338
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPITERI
FirstName: NATALIE
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: PSY. D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2281 E 6TH ST
Address2:  
City: LONG BEACH
State: CA
PostalCode: 908141015
CountryCode: US
TelephoneNumber: 5629001815
FaxNumber:  
Practice Location
Address1: 490 W 14TH ST
Address2:  
City: LONG BEACH
State: CA
PostalCode: 908132943
CountryCode: US
TelephoneNumber: 5625918701
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/18/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XPSY16367CAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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