Provider Demographics
NPI:1467608158
Name:PARSONS, AMY E (PSYD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:E
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14278
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-0278
Mailing Address - Country:US
Mailing Address - Phone:415-884-9983
Mailing Address - Fax:415-513-5654
Practice Address - Street 1:1801 BUSH ST
Practice Address - Street 2:SUITE 131F
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5239
Practice Address - Country:US
Practice Address - Phone:415-884-9983
Practice Address - Fax:415-513-5654
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20115103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical