Provider Demographics
NPI:1003513904
Name:SPARROW PSYCHOLOGY, PLLC
Entity Type:Organization
Organization Name:SPARROW PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SPARROW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-593-5424
Mailing Address - Street 1:8641 236TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-1977
Mailing Address - Country:US
Mailing Address - Phone:510-593-5424
Mailing Address - Fax:
Practice Address - Street 1:8641 236TH AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-1977
Practice Address - Country:US
Practice Address - Phone:510-593-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty