Provider Demographics
NPI:1972517373
Name:SPRANKLE, WALTER EUGENE (LPC)
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:EUGENE
Last Name:SPRANKLE
Suffix:
Gender:M
Credentials:LPC
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 205
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:49471
Mailing Address - Country:US
Mailing Address - Phone:330-755-9099
Mailing Address - Fax:
Practice Address - Street 1:87 STAMBAUGH AVE
Practice Address - Street 2:SUITE 5 ST ANTHONYS POINT INC
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146
Practice Address - Country:US
Practice Address - Phone:724-982-0414
Practice Address - Fax:724-982-4407
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0004233101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral