Jim Robert Sparks is a Clinical in Portland, Maine. Jim Robert Sparks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jim Robert Sparks is 1134227440. The last update date is 2010-12-16.
Jim Robert Sparks's current location address is 225 Commercial St, Portland, Maine. You can contact this provider via phone number 2077720337 and fax number 2077720308. The mailing address for Jim Robert Sparks is 225 Commercial St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jim Robert Sparks |
|---|---|
| Address | 225 Commercial St, Portland, Maine |
| Phone Number | 2077720337 |
| Fax Number | 2077720308 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134227440 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2010-12-16 |
Provider Mailing Address Detail
| Address | 225 Commercial St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41016603 |
| Phone Number | 2077720337 |
| Fax Number | 2077720308 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS1244 |
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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 assigned to Jim Robert Sparks by the Centers for Medicare & Medicaid Services?
The Jim Robert Sparks has been issued the NPI (National Provider Identifier) 1134227440 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jim Robert Sparks is geographically located?
The Jim Robert Sparks is physically situated at the following location: 225 Commercial St, Portland, ME, 41016603.
What is Jim Robert Sparks's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jim Robert Sparks's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did the Jim Robert Sparks receive its 1134227440?
The Jim Robert Sparks was issued its 1134227440 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jim Robert Sparks most recently updated?
The details pertaining to the Jim Robert Sparks, including its address, specialty, and other relevant information, were last refreshed on 2010-12-16.
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