DR. Jim Robert Sparks, PH.D.

NPI #1134227440 in Portland, Maine

Provider Information

NPI Number
1134227440
Entity Type
Individual
Name
DR. Jim Robert Sparks, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Sep 20, 2006
Last Updated
Dec 16, 2010

Practice Location

Address
225 COMMERCIAL ST
Address 2
SUITE 401B
State
Maine
ZIP Code
04101-6603
Phone
(207) 772-0337

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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