Provider Demographics
NPI:1033309711
Name:PARMLEY, MEAGAN C (PHD)
Entity Type:Individual
Prefix:DR
First Name:MEAGAN
Middle Name:C
Last Name:PARMLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:CARLETON
Other - Last Name:PARMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:9426 INDIAN SCHOOL RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-2886
Mailing Address - Country:US
Mailing Address - Phone:505-350-8819
Mailing Address - Fax:
Practice Address - Street 1:9426 INDIAN SCHOOL RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2886
Practice Address - Country:US
Practice Address - Phone:505-350-8819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-28
Last Update Date:2014-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1016103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical