Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | ||
N | 1041C0700X | Clinical Social Worker | 00991543 | CO |
NPI | 1053783530 |
---|---|
Provider Name | Mrs. Lori Anne Parker |
First Address | Parker, CO 80134-8845 |
Second Address | Aurora, CO 80014-3902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2015 |
Last Update Date | 16/12/2020 |