Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spark Therapy, LLC

Organization Speech-Language Pathologist · NPI 1538025382

Spark Therapy, LLC is a Speech-Language Pathologist in Vicksburg, Mississippi. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5289 Youngton Rd
Vicksburg, MS 39183-7116
Phone: (601) 618-1510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1538025382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betty Chiles — Credentialing Specialist · (601) 618-5120
NPI enumeratedDecember 24, 2025
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025
Mailing address5289 Youngton Rd, Vicksburg, MS 39183-7116

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