| David R Parker Phd Plc | |
|
1133 Louisiana Ave Suite 207 Winter Park FL 32789-2350 | |
| (407) 574-8763 | |
| (407) 574-8822 |
| Full Name | David R Parker Phd Plc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1133 Louisiana Ave, Winter Park, Florida |
| Authorized Official Name and Position | David Parker (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4075748763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R Parker Phd Plc Po Box 547422 Orlando FL 32854-7422 Ph: () - | David R Parker Phd Plc 1133 Louisiana Ave Suite 207 Winter Park FL 32789-2350 Ph: (407) 574-8763 |
| NPI Number | 1942499835 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942499835 | NPI | - | NPPES |
| 75282 | Other | FL | BC/BS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2490 (Florida) | Primary |
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