| Spark Psychotherapy Llc | |
|
441 Beaver St Sewickley PA 15143-1676 | |
| (347) 526-2123 | |
| Not Available |
| Full Name | Spark Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 441 Beaver St, Sewickley, Pennsylvania |
| Authorized Official Name and Position | Katie Ryan (OWNER) |
| Authorized Official Contact | 3475262123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Psychotherapy Llc 1667 Sturbridge Dr Sewickley PA 15143-8514 Ph: (347) 526-2123 | Spark Psychotherapy Llc 441 Beaver St Sewickley PA 15143-1676 Ph: (347) 526-2123 |
| NPI Number | 1467298836 |
|---|---|
| Provider Enumeration Date | 07/05/2024 |
| Last Update Date | 07/05/2024 |
| Certification Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467298836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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