Organization · Type 2 NPI

Theresa A. Sparks, Ph.d., Inc.

Clinical Psychologist · Fernandina Beach, FL

NPI number 1679955181 Active

Practice location

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

Fax (904) 212-1216

Specialties and licenses

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

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 1679955181

Theresa A. Sparks, Ph.d., Inc.'s National Provider Identifier is 1679955181, issued on Jun 20, 2015. 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.