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

THERESA A. SPARKS, PH.D., INC.

Active Organization

THERESA A. SPARKS, PH.D., INC. is a Clinical Psychologist organization located in FERNANDINA BEACH, Florida. NPI 1679955181 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · FERNANDINA BEACH, FL

Registration Details

NPI Number
1679955181
Provider Type
Organization
NPI Issued
Jun 20, 2015 (11.132808695352 yrs)
Last Updated
Jun 11, 2019
Licenses
PSY002794 (GA)
PY9173 (FL)

Practice Information

Address
910 S 8TH ST STE 134
FERNANDINA BEACH, FL, 320346700
Browse FL providers · Browse ZIP 32034
Phone
9048914565
Fax
9042121216
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Organizations in FERNANDINA BEACH, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.