| Robert E Parker Phd Pc | |
|
19987 1st Ave S #101 Normandy Park WA 98148 | |
| (206) 824-7275 | |
| Not Available |
| Full Name | Robert E Parker Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 19987 1st Ave S, Normandy Park, Washington |
| Authorized Official Name and Position | Robert E Parker (OWNER PSYCHOLOGIST) |
| Authorized Official Contact | 2068247275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Parker Phd Pc 19987 1st Ave S #101 Normandy Park WA 98148 Ph: (206) 824-7275 | Robert E Parker Phd Pc 19987 1st Ave S #101 Normandy Park WA 98148 Ph: (206) 824-7275 |
| NPI Number | 1831176320 |
|---|---|
| Provider Enumeration Date | 12/27/2005 |
| Last Update Date | 03/01/2012 |
| Medicare PECOS PAC ID | 8325228794 |
|---|---|
| Medicare Enrollment ID | O20110202000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831176320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1487 (Washington) | Primary |
| Provider Name | Robert E Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750365060 PECOS PAC ID: 9931389301 Enrollment ID: I20110202000812 |
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