Gregory Mark Spayd, LPC
Counselor, Professional in Austin, TX. Individual provider (NPI-1).
NPI number1194357004
StatusActive
Last updated in NPPESFeb 8, 2020
Details
- NPI
- 1194357004
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gregory Mark Spayd
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2020
- Certification date
- Feb 8, 2020
- Last updated
- Feb 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 16426 | TX | Yes |
Practice location
4807 Spicewood Springs Rd Bldg 1Austin, TX 78759-8444
Phone 512-843-7665 · Fax 512-444-7717
Mailing address
4409 Guadalupe St Apt 2Austin, TX 78751-3639
Phone 361-244-2641
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