Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY3129 | FL |
Y | 103TC0700X | Clinical Psychologist | PY3129 | FL |
NPI | 1003057449 |
---|---|
Provider Name | Dr. Vincent E. Parr |
First Address | Tampa, FL 33609 |
Second Address | Tampa, FL 33609-1845 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2009 |
Last Update Date | 16/03/2009 |