Individual provider · Type 1 NPI

Theresa A. Sparks, PhD

Clinical Psychologist · Fernandina Beach, FL

NPI number 1538138367 Active

Practice location

910 S 8th St Ste 134
Fernandina Beach, FL 32034-6700

Call (904) 891-4565 Map

Fax (904) 212-1216

Mailing address

2111 Egret Ln
Fernandina Beach, FL 32034-4445

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XPSY002794 (GA)
Clinical Psychologist Primary 103TC0700XPY9173 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1538138367

Theresa A. Sparks, PhD's National Provider Identifier is 1538138367, issued on Mar 15, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fernandina Beach, FL. The record was last updated on Jun 11, 2019.