MS. CONNIE LOU SPEER


Address: 1407 M D Ln, Ste A, Tallahassee, FL 32308-5349
Phone: 8508771746

MS. CONNIE LOU SPEER (NPI# 1073516480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073516480
Entity Type Individual
Full Name MS. CONNIE LOU SPEER
Credential M.D.
Practice Address 1407 M D Ln
Ste A
Tallahassee
FL 32308-5349
Practice Telephone 8508771746
Practice Fax Number 8508778215
Mailing Telephone 8508771746
Mailing Fax Number 8508778215
Enumeration Date 2005-05-31
Last Update Date 2010-06-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
036902 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 039851900 05

Office Location

Street Address 1407 M D LN
STE A
City TALLAHASSEE
State FL
Zip Code 32308-5349

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851769244 Tallahassee Brain Stimulation Center, LLC Clinic/Center 1407 M D Ln, Suite A, Tallahassee, FL 32308-5349 2015-09-02
1356557953 Linda Marie Smith Marriage & Family Therapist 1407 M D Ln, Suite A, Tallahassee, FL 32308-5349 2007-05-14
1225056054 Greg Perry Family Medicine 1407 M D Ln, Suite B, Tallahassee, FL 32308-5349 2006-07-18

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1225547243 William Michael Kunkle Physician Assistant 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 2017-09-21
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932268463 Dejene Abebe Psychiatry & Neurology 471 W Tennessee St, Tallahassee, FL 32301-1025 2006-12-08
1750332557 Diane Marie Stewart Psychiatry & Neurology 1615 Mahan Center Blvd, Tallahassee, FL 32308-5443 2006-05-15

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NPI Name Taxonomy Address Enumeration
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1952829137 Child and Adolescent Tampa Bay Psychiatry, LLC Psychiatry & Neurology 100 S Ashley Dr Ste 600, Tampa, FL 33602-5300 2017-09-07
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1851746069 Hannah Elizabeth Morrissey Psychiatry & Neurology University of Florida Psychiatry Residency, 4037 Nw 86th Terrace, Gainesville, FL 32610-0001 2016-04-26
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Competitor

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City TALLAHASSEE
Zip Code 32308

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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