Sage Spark Psychology

LBN: Susan Poole, Phd, Pllc
Sage Spark Psychology is an health care organization with primary practice located at 3213 N 31St St , Tacoma WA 98407-5901. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Susan Poole, Phd, Pllc can be contacted via phone (253) 254-5232, or through Poole, Susan Janette via phone (253) 254-5232.

Contact Information

Primary practice address
3213 N 31St St Tacoma WA 98407-5901
Phone: (253) 254-5232
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Poole, Susan Janette PHD
Phone: (253) 254-5232

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1932843422
LBN Legal business name Susan Poole, Phd, Pllc
DBA Doing business as Sage Spark Psychology
Authorized official Poole, Susan Janette PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2022
Last updated Nov 9th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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