| Lauren C. Spooner, Llc | |
|
400 S Tennille Ave Donalsonville GA 39845-1622 | |
| (229) 524-0071 | |
| (229) 524-0072 |
| Full Name | Lauren C. Spooner, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 400 S Tennille Ave, Donalsonville, Georgia |
| Authorized Official Name and Position | Lauren C Spooner (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2295240071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren C. Spooner, Llc Po Box 632 Donalsonville GA 39845-0632 Ph: (229) 524-0071 | Lauren C. Spooner, Llc 400 S Tennille Ave Donalsonville GA 39845-1622 Ph: (229) 524-0071 |
| NPI Number | 1780031526 |
|---|---|
| Provider Enumeration Date | 05/23/2016 |
| Last Update Date | 05/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780031526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY003776 (Georgia) | Primary |
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