Provider Demographics
NPI:1437479870
Name:PARKER, ROBERTA
Entity Type:Individual
Prefix:MRS
First Name:ROBERTA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5422 OAK COVE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-3612
Mailing Address - Country:US
Mailing Address - Phone:713-812-1801
Mailing Address - Fax:713-812-0126
Practice Address - Street 1:5422 OAK COVE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-3612
Practice Address - Country:US
Practice Address - Phone:713-812-1801
Practice Address - Fax:713-812-0126
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst