Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Theresa A. Sparks, Ph D , Inc

Organization Clinical Psychologist · NPI 1679955181

Theresa A. Sparks, Ph D , Inc provides Clinical Psychologist services in Fernandina Beach, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2015.

Licensed in
FL, GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

910 S 8th St Ste 134
Fernandina Beach, FL 32034-6700
Phone: (904) 891-4565
Fax: (904) 212-1216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY9173 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY002794 (GA)

Record details

NPI number1679955181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Sparks — President/Owner · (904) 891-4565
NPI enumeratedJune 20, 2015
Last updated in NPPESJune 11, 2019
Mailing address910 S 8th St Ste 134, Fernandina Beach, FL 32034-6700

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