Provider Demographics
NPI:1023190436
Name:PARKER, TAMMY (LMFT)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EDWARD ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-6403
Mailing Address - Country:US
Mailing Address - Phone:860-280-7129
Mailing Address - Fax:
Practice Address - Street 1:20 EDWARD ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-6403
Practice Address - Country:US
Practice Address - Phone:860-585-8200
Practice Address - Fax:860-585-8200
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health