Individual
DR. RICHARD THOMAS SPARACIO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1000 CENTRE GREEN WAY, CARY, NC 27513-2283
(919) 656-9662
(984) 465-4192
Mailing address
334 HARVEST ROW CT, CARY, NC 27513-8421
(919) 656-9662
(984) 465-4192
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1344
ME
103T00000X
Psychologist
35S100281200
NJ
103T00000X
Psychologist
Primary
4933
NC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC1900X
Counseling Psychologist
35S100281200
NJ
103TP2701X
Group Psychotherapy Psychologist
35S100281200
NJ
103TS0200X
School Psychologist
REG. CERTIFICATION
NJ
106H00000X
Marriage & Family Therapist
37F100105300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4985303
—
NJ
Enumeration date
11/24/2006
Last updated
09/22/2016
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