Mary E. Sparks is a Clinical in Corte Madera, California. Mary E. Sparks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary E. Sparks is 1912124793. The last update date is 2007-07-08.
Mary E. Sparks's current location address is 21 Tamal Vista Blvd, Corte Madera, California. You can contact this provider via phone number 4154535541. The mailing address for Mary E. Sparks is 21 Tamal Vista Blvd, Corte Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E. Sparks |
|---|---|
| Address | 21 Tamal Vista Blvd, Corte Madera, California |
| Phone Number | 4154535541 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1912124793 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 21 Tamal Vista Blvd |
|---|---|
| City | Corte Madera |
| State | California (CA) |
| Post Code | 949251130 |
| Phone Number | 4154535541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 6101 |
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Definition: 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 |
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What is the unique 10-digit identifier code issued to Mary E. Sparks by the Centers for Medicare & Medicaid Services?
The Mary E. Sparks has been assigned the NPI (National Provider Identifier) 1912124793 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mary E. Sparks's physical address?
The Mary E. Sparks is physically located at 21 Tamal Vista Blvd, in the city of Corte Madera, CA, with the postal code 949251130.
What is Mary E. Sparks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary E. Sparks is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did Mary E. Sparks receive its 1912124793 assignment?
The Mary E. Sparks was assigned its 1912124793 on 2007-04-20, which is the date when this unique identifier was issued to the organization.
When was the information related to Mary E. Sparks most recently updated or refreshed?
The details pertaining to the Mary E. Sparks, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH