| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATHRYN EVA SPARKS | 1053878181 | 2019-02-25 |
Kathryn Eva Sparks is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053878181. Registration indicates Kathryn Eva Sparks is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )
| Entity Type | Individual |
| Provider Name | Kathryn Eva Sparks |
| Practice Office Address | 344 E RUSTIC RD SANTA MONICA, CA US |
| Practice Office Telephone | 3103177668 |
| Mailing Address | 344 E RUSTIC RD SANTA MONICA, CA 904021145 US |
| Business Telephone | 3103177668 |
| Code | Practice | License No State |
|---|---|---|
| 103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | 190944
CA |