Provider Demographics
NPI:1346502028
Name:PARKER PSYCHOLOGICAL SERVICES, INC.
Entity Type:Organization
Organization Name:PARKER PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CIA
Authorized Official - Middle Name:MEGAN
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:301-305-0693
Mailing Address - Street 1:5257 BUCKEYSTOWN PIKE
Mailing Address - Street 2:BOX 478
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-7535
Mailing Address - Country:US
Mailing Address - Phone:301-305-0693
Mailing Address - Fax:
Practice Address - Street 1:5257 BUCKEYSTOWN PIKE
Practice Address - Street 2:BOX 478
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7535
Practice Address - Country:US
Practice Address - Phone:301-305-0693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4944251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health