| NPI | 1023810074 |
|---|---|
| Doing Business As | SPARK PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RHODA LUCCHESI Psychologist/Owner 970-903-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-10-01 |