Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 165104 | MA |
NPI | 1154630150 |
---|---|
Provider Name | Linda C. Parker |
First Address | Leominster, MA 01453-3228 |
Second Address | Leominster, MA 01453-3228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2010 |
Last Update Date | 25/09/2010 |