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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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