Derek J Parker, MA, MS, PHD | |
420 1st St, Du Bois, PA 15801-3012 | |
(814) 221-5744 | |
Not Available |
Full Name | Derek J Parker |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 420 1st St, Du Bois, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679919633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Christian Counseling Associates Of Western Pennsylvania |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356583066 PECOS PAC ID: 7618137522 Enrollment ID: O20120330000461 |
Mailing Address | Practice Location Address |
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Derek J Parker, MA, MS, PHD 56 Graham Ave, Brookville, PA 15825-1403 Ph: (814) 221-5744 | Derek J Parker, MA, MS, PHD 420 1st St, Du Bois, PA 15801-3012 Ph: (814) 221-5744 |
Elaine M. Boal, B. A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 | |
Pamela S Brunelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Letasha Anne Tedrow, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Melissa Lynn Baird, B. S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 | |
Shannon L Lucas, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-371-3671 | |
Ms. Tara Leigh Collins, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 814-371-1100 Fax: 814-375-0120 | |
Shannon R Lange, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 S Brady St Ste 205, Du Bois, PA 15801 Phone: 814-371-1088 Fax: 814-371-4966 |