| Spark Psychology, Inc. | |
|
264 N Santa Cruz Ave Los Gatos CA 95030-7228 | |
| (408) 412-1614 | |
| Not Available |
| Full Name | Spark Psychology, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 264 N Santa Cruz Ave, Los Gatos, California |
| Authorized Official Name and Position | Rupa Robbins (FOUNDER) |
| Authorized Official Contact | 4084121614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Psychology, Inc. 264 N Santa Cruz Ave Los Gatos CA 95030-7228 Ph: (408) 412-1614 | Spark Psychology, Inc. 264 N Santa Cruz Ave Los Gatos CA 95030-7228 Ph: (408) 412-1614 |
| NPI Number | 1598515215 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598515215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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