Dr. Elizabeth Elaine Sparks
Psychologist
140 Commonwealth Ave
Chestnut Hill
, Massachusetts 02467-3800
Dr. Elizabeth Elaine Sparks
Psychologist
140 Commonwealth Ave
Chestnut Hill
, Massachusetts 02467-3800
(617) 552-0398
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Elizabeth Elaine Sparks
- 140 Commonwealth Ave
- Chestnut Hill, MA
- Zip : 02467-3800
- Fax : (617) 552-0398
- Phone : (617) 552-0698
Second Address
- Dr. Elizabeth Elaine Sparks
- 140 Commonwealth Ave
- Chestnut Hill, MA
- Zip : 02467-3800
- Fax : (617) 552-0398
- Phone : (617) 552-0698
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 5025 | MA |
| Y | 103T00000X | Psychologist | 5025 | MA |
National Provider Identifier
| NPI | 1013400100 |
|---|---|
| Provider Name | Dr. Elizabeth Elaine Sparks |
| First Address | Chestnut Hill, MA 02467-3800 |
| Second Address | Chestnut Hill, MA 02467-3800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2018 |
| Last Update Date | 13/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.