Active NPIIndividual providerSole proprietor

Dr. Elizabeth E Sparks, PHD

Psychologist in Chestnut Hill, Massachusetts

NPI Number1013400100
Practice location
140 Commonwealth Ave, Chestnut Hill, MA 02467-3800
Fax
617-552-0398
Last updated
June 13, 2018

Elizabeth Elaine Sparks is a Psychologist based in Chestnut Hill, MA. Elizabeth Elaine Sparks practices in Chestnut Hill, MA and has the professional credentials of PHD. The NPI Number for Elizabeth Elaine Sparks is 1013400100 and holds a License No. 5025 (MA). The current practice location address for Elizabeth Elaine Sparks is 140 Commonwealth Ave, Chestnut Hill, MA 02467-3800 and can be reached out via phone at 617-552-0698 and via fax at 617-552-0398.

Provider Profile Details

NPI Number
1013400100
Provider Name
Elizabeth Elaine Sparks
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
140 Commonwealth Ave, Chestnut Hill, MA 02467-3800
Phone Number
617-552-0698
Fax Number
617-552-0398
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2018
Last Update Date
June 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Commonwealth Ave
Chestnut Hill, MA 02467-3800
Zip
02467-3800
Phone Number
617-552-0698
Fax Number
617-552-0398
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
140 Commonwealth Ave
Chestnut Hill, MA 02467-3800
City
Chestnut Hill
State
MA
Zip
02467-3800
Phone Number
617-552-0698
Fax Number
617-552-0398

License Information

License Number
5025
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elizabeth E Sparks, PHD?

The NPI number of Dr. Elizabeth E Sparks, PHD is 1013400100. It was assigned on June 13, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Elizabeth E Sparks, PHD?

Dr. Elizabeth E Sparks, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 5025.

Where does Dr. Elizabeth E Sparks, PHD practice?

The practice location is 140 Commonwealth Ave, Chestnut Hill, MA 02467-3800. The office can be reached at 617-552-0698 (phone) or 617-552-0398 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013400100 directly on the NPPES registry website.

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