Individual
DR. ELIZABETH ELAINE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
140 COMMONWEALTH AVE, CHESTNUT HILL, MA 02467-3800
(617) 552-0698
(617) 552-0398
Mailing address
140 COMMONWEALTH AVE, CHESTNUT HILL, MA 02467-3800
(617) 552-0698
(617) 552-0398
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5025
MA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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