Individual
DR. MARTHA ANN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1000 10TH AVE, SUITE 2T, NEW YORK, NY 10019-1147
(212) 523-6500
(212) 523-7182
Mailing address
1000 10TH AVE, SUITE 2T, NEW YORK, NY 10019-1147
(212) 523-6500
(212) 523-7182
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
019273
NY
103TC0700X
Clinical Psychologist
Primary
019273
NY
Other
Enumeration date
06/26/2013
Last updated
03/01/2016
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