Individual
DR. THERESA A SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
910 S 8TH ST STE 134, FERNANDINA BEACH, FL 32034-6700
(904) 891-4565
(904) 212-1216
Mailing address
2111 EGRET LN, FERNANDINA BEACH, FL 32034-4445
(904) 891-4565
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY002794
GA
103TC0700X
Clinical Psychologist
Primary
PY9173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699989780A
—
GA
Enumeration date
03/15/2006
Last updated
06/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us