Provider Demographics
NPI:1124271192
Name:SPALDING-HUNTER, NELLIE LYNETTE (MS ED)
Entity type:Individual
Prefix:MS
First Name:NELLIE
Middle Name:LYNETTE
Last Name:SPALDING-HUNTER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 E 96TH ST
Mailing Address - Street 2:APT #2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-1369
Mailing Address - Country:US
Mailing Address - Phone:347-528-2543
Mailing Address - Fax:
Practice Address - Street 1:632 E 96TH ST
Practice Address - Street 2:APT #2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-1369
Practice Address - Country:US
Practice Address - Phone:347-528-2543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY900B252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency