Provider Demographics
NPI:1548860612
Name:SPIEGEL, ZOE (MA, NCSP)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:MA, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HARDING DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-4610
Mailing Address - Country:US
Mailing Address - Phone:191-422-4174
Mailing Address - Fax:
Practice Address - Street 1:20 HARDING DR
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-4610
Practice Address - Country:US
Practice Address - Phone:191-422-4174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2976576103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool