Provider Demographics
NPI:1821304148
Name:SPARLING, MATTHEW (MSED)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:SPARLING
Suffix:
Gender:M
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12668
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35815-2668
Mailing Address - Country:US
Mailing Address - Phone:404-229-1225
Mailing Address - Fax:
Practice Address - Street 1:9309 COTTON GUM RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-3697
Practice Address - Country:US
Practice Address - Phone:404-229-1225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health