Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 5094 | NY |
N | 103TC0700X | Clinical Psychologist | 5094 | NY |
Y | 103G00000X | Clinical Psychologist | 5094 | NY |
Y | 103TC0700X | Clinical Psychologist | 5094 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 5094 | NY |
N | 103TF0200X | Forensic Psychologist | 5094 | NY |
NPI | 1134295900 |
---|---|
Provider Name | Dr. Deansin Goodson Parker |
First Address | New York, NY 10128-0807 |
Second Address | New York, NY 10128-0807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2006 |
Last Update Date | 04/07/2008 |