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

Theresa A. Sparks, Ph D , Inc

Organization Clinical Psychologist · NPI 1679955181

Theresa A. Sparks, Ph D , Inc is a Clinical Psychologist 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.

See every abbreviation used in this directory →

Practice location Address checks out

910 S 8th St Ste 134
Fernandina Beach, FL 32034-6700
Phone: (904) 891-4565
Fax: (904) 212-1216
Show map & directions

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

Other providers in Fernandina Beach