Provider Demographics
NPI:1558417931
Name:PARMER, DAVID G (MA LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:PARMER
Suffix:
Gender:M
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 ED ENGLISH DR
Mailing Address - Street 2:BUILDING 3, SUITE B
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8020
Mailing Address - Country:US
Mailing Address - Phone:936-242-4069
Mailing Address - Fax:
Practice Address - Street 1:250 ED ENGLISH DR
Practice Address - Street 2:BUILDING 3, SUITE B
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-8020
Practice Address - Country:US
Practice Address - Phone:936-242-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7249839OtherAETNA PIN#