Provider Demographics
NPI:1972646297
Name:SPLETTER, RICHARD W (MSSW)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:W
Last Name:SPLETTER
Suffix:
Gender:M
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 JAMES DR
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-8836
Mailing Address - Country:US
Mailing Address - Phone:972-771-6424
Mailing Address - Fax:972-771-8755
Practice Address - Street 1:212 JAMES DR
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:TX
Practice Address - Zip Code:75032-8836
Practice Address - Country:US
Practice Address - Phone:214-348-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0142061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS38HMedicare ID - Type Unspecified