Provider Demographics
NPI:1730392218
Name:SPRUNCK, NORMAN E (BS)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:E
Last Name:SPRUNCK
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3831 COGSWELL RD
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-2401
Mailing Address - Country:US
Mailing Address - Phone:626-575-4979
Mailing Address - Fax:626-575-4949
Practice Address - Street 1:3831 COGSWELL RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-2401
Practice Address - Country:US
Practice Address - Phone:626-575-4979
Practice Address - Fax:626-575-4949
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)