Provider Demographics
NPI:1760009351
Name:PARKER, TIREN (PHD)
Entity Type:Individual
Prefix:DR
First Name:TIREN
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:TIREN
Other - Middle Name:
Other - Last Name:NOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8900 LAKES AT 610 DR APT 471
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2885
Mailing Address - Country:US
Mailing Address - Phone:910-916-6861
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006392103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0810006392OtherCLINICAL PSYCHOLOGY LICENSE