Sparks, Mary E.
Sparks, Mary E. is an sole proprietor health care provider with primary practice located at 21 Tamal Vista Blvd Suite 180, Corte Madera CA 94925-1130. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sparks, Mary E. can be contacted via phone (415) 453-5541.Contact Information
Primary practice address
21 Tamal Vista Blvd Suite 180
Corte Madera CA 94925-1130
Phone: (415) 453-5541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 6101 | California |
Profile Details
| NPI number | 1912124793 |
|---|---|
| LBN Legal business name | Sparks, Mary E. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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