Provider Demographics
NPI:1194957712
Name:SPERBER, CLAUDIA EVANGELINE (DIPLAC)
Entity type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:EVANGELINE
Last Name:SPERBER
Suffix:
Gender:F
Credentials:DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 E INDIANHEAD DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-5837
Mailing Address - Country:US
Mailing Address - Phone:413-774-4590
Mailing Address - Fax:
Practice Address - Street 1:2019 E INDIANHEAD DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-5837
Practice Address - Country:US
Practice Address - Phone:413-774-4590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212141171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist