Provider Demographics
NPI:1447516679
Name:SPENCER, SARAH VAN CLEVE (PHD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:VAN CLEVE
Last Name:SPENCER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 SCIENCE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4257
Mailing Address - Country:US
Mailing Address - Phone:585-279-7800
Mailing Address - Fax:
Practice Address - Street 1:315 SCIENCE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4257
Practice Address - Country:US
Practice Address - Phone:585-279-7800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent