Provider Demographics
NPI:1003057449
Name:PARR, VINCENT E (PHD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:E
Last Name:PARR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 W. KENNEDY BLVD.
Mailing Address - Street 2:SUITE 615
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609
Mailing Address - Country:US
Mailing Address - Phone:813-235-4270
Mailing Address - Fax:813-319-5804
Practice Address - Street 1:5201 W KENNEDY BLVD
Practice Address - Street 2:SUITE 615
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1845
Practice Address - Country:US
Practice Address - Phone:813-235-4270
Practice Address - Fax:813-319-5804
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY3129103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical