Individual provider · Type 1 NPI

Paige Sparks, PSYD

Student in an Organized Health Care Education/Training Program · Newport Beach, CA

NPI number 1629623822 Active

Practice location

4631 Teller Ave Ste 100
Newport Beach, CA 92660-8105

Call (949) 887-7187 Map

Mailing address

217 Walnut St
Costa Mesa, CA 92627-2215

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629623822

Paige Sparks, PSYD's National Provider Identifier is 1629623822, issued on Aug 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newport Beach, CA. The record was last updated on Jun 23, 2023.