Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 31252 | TX |
Y | 103G00000X | Clinical Psychologist | 021563 | NY |
Y | 103TC0700X | Clinical Psychologist | 021563 | NY |
NPI | 1053402305 |
---|---|
Provider Name | Patricia A. Parker |
First Address | New York, NY 10022-4503 |
Second Address | New York, NY 10022-4503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 31/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
OTH000 | (02) |