| Spark Psychological Services Llc | |
|
363 Valle Escondido Dr Durango CO 81303-7960 | |
| (970) 905-5071 | |
| Not Available |
| Full Name | Spark Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 363 Valle Escondido Dr, Durango, Colorado |
| Authorized Official Name and Position | Jennifer Rhoda Lucchesi (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9709035071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Psychological Services Llc 363 Valle Escondido Dr Durango CO 81303-7960 Ph: (970) 903-5071 | Spark Psychological Services Llc 363 Valle Escondido Dr Durango CO 81303-7960 Ph: (970) 905-5071 |
| NPI Number | 1023810074 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 05/14/2025 |
| Certification Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023810074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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