Suzy Joan Spradlin | Oakland, CA • PECOS Search

Suzy Joan Spradlin

Specialist

Other Service Providers

6656 Colton Blvd, Oakland, CA 94611-2332

PECOS Enrollment

Based on the most recent information from CMS, provider Suzy Joan Spradlin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1417243403
Provider Type
Individual
Full Name
Spradlin, Suzy Joan
Title
Dr.
Credential
PH.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/28/2011
Last Updated
6/28/2011

Contact Information

Practice Location

6656 Colton Blvd, Oakland, CA 94611-2332

Unlisted Fax

Mailing Location

6656 Colton Blvd, Oakland, CA 94611-2332

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License PSY 5007 California