Individual
DARYL SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
23141 MOULTON PKWY STE 207, LAGUNA HILLS, CA 92653-1204
(734) 926-5667
Mailing address
1042 WILLOW CREEK RD STE A101, PRESCOTT, AZ 86301-1672
(734) 926-5667
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
33870
CA
103T00000X
Psychologist
PSY-006005
AZ
103TC0700X
Clinical Psychologist
94024833
CA
Other
Enumeration date
02/24/2017
Last updated
04/30/2026
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