Provider Demographics
NPI:1093808248
Name:SPELLER, JEFFREY LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LYNN
Last Name:SPELLER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6 COURTHOUSE LN STE 12
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1725
Mailing Address - Country:US
Mailing Address - Phone:800-275-3207
Mailing Address - Fax:866-401-1338
Practice Address - Street 1:6 COURTHOUSE LN STE 12
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1725
Practice Address - Country:US
Practice Address - Phone:800-275-3207
Practice Address - Fax:866-401-1338
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA575622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry