| William Parker PhD PC | |
|
2894 Thornapple River Dr Se Grand Rapids MI 49546-6857 | |
| (616) 285-6080 | |
| (616) 285-5466 |
| Full Name | William Parker PhD PC |
|---|---|
| Speciality | Psychologist |
| Location | 2894 Thornapple River Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | William L Parker (OWNER) |
| Authorized Official Contact | 6162856080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Parker PhD PC 2894 Thornapple River Dr Se Grand Rapids MI 49546-6857 Ph: (616) 285-6080 | William Parker PhD PC 2894 Thornapple River Dr Se Grand Rapids MI 49546-6857 Ph: (616) 285-6080 |
| NPI Number | 1821339250 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 03/11/2013 |
| Medicare PECOS PAC ID | 9436385788 |
|---|---|
| Medicare Enrollment ID | O20131115001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821339250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301007243 (Michigan) | Primary |
| Provider Name | William L Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093926198 PECOS PAC ID: 5991931255 Enrollment ID: I20131115001517 |
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