Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer Mode Spackman, PSYD

Individual provider Clinical Psychologist · NPI 1811087125

Dr. Jennifer Mode Spackman, PSYD is a Clinical Psychologist in Fayetteville, North Carolina. Licensed in North Carolina and Utah. Registered with an NPI since 2006.

Licensed in
NC, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

109 Bradford Ave
Fayetteville, NC 28301-5401
Phone: (910) 488-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 271874-2501 (UT)
Clinical Psychologist Taxonomy 103TC0700X · Licence 5201 (NC)

Record details

NPI number1811087125
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 15, 2006
Last updated in NPPESJune 13, 2019

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