Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSYC.PY.60961656 | WA |
N | 103G00000X | Clinical Psychologist | PSYC.PY.60961656 | WA |
N | 103TC0700X | Clinical Psychologist | PSYC.PY.60961656 | WA |
N | 103TH0004X | Health Psychologist | PSYC.PY.60961656 | WA |
Y | 103TR0400X | Rehabilitation Psychologist | PSYC.PY.60961656 | WA |
NPI | 1164072260 |
---|---|
Provider Name | Dr. Aaron Parker |
First Address | Seattle, WA 98101-1726 |
Second Address | Seattle, WA 98101-1726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2019 |
Last Update Date | 05/03/2020 |