Provider Demographics
NPI:1467612564
Name:SPARKS-MORELLI, RAMONA PAULA (MS)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:PAULA
Last Name:SPARKS-MORELLI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12399 GRAVOIS RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1750
Mailing Address - Country:US
Mailing Address - Phone:314-842-3828
Mailing Address - Fax:314-843-3052
Practice Address - Street 1:12399 GRAVOIS RD STE 120
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1750
Practice Address - Country:US
Practice Address - Phone:314-842-3828
Practice Address - Fax:314-843-3052
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO106738237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter