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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JIM ROBERT SPARKS, PH.D.

Active Sole Proprietor

DR. JIM ROBERT SPARKS, PH.D. is a Clinical Psychologist healthcare provider located in PORTLAND, Maine. NPI 1134227440 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PORTLAND, ME

Registration Details

NPI Number
1134227440
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.885599517122 yrs)
Last Updated
Dec 16, 2010
Licenses
PS1244 (ME)
PSY15376 (CA)
Sole Proprietor
Yes

Practice Information

Address
225 COMMERCIAL ST
SUITE 401B
PORTLAND, ME, 041016603
Browse ME providers · Browse ZIP 04101
Phone
2077720337
Fax
2077720308
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in PORTLAND, ME

Name Credential NPI
DR. JOHN MATTHEW O'BRIEN PH.D. 1720083504
MR. WILLIAM HART LESCHEY III PHD 1235192477
STEPHEN R ARONSON PHD 1568490233
DR. WILLIAM H. SANDBERG PH.D. 1174548572
DR. LEE KATHERINE NICOLOFF PHD 1205858180
PAMELA MARY LEONE PH.D. 1457375263
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.