Provider Demographics
NPI:1316117161
Name:SPINARIS, CATERINA G (PHD)
Entity type:Individual
Prefix:
First Name:CATERINA
Middle Name:G
Last Name:SPINARIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 355
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:CO
Mailing Address - Zip Code:81226-0355
Mailing Address - Country:US
Mailing Address - Phone:719-784-4727
Mailing Address - Fax:719-784-2214
Practice Address - Street 1:431 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:CO
Practice Address - Zip Code:81226-1534
Practice Address - Country:US
Practice Address - Phone:719-784-4727
Practice Address - Fax:719-784-2214
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1445101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional