Provider Demographics
NPI:1760888291
Name:PARKER, SHELBY (BA)
Entity Type:Individual
Prefix:MS
First Name:SHELBY
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 S UNIVERSITY BLVD
Mailing Address - Street 2:APT 111
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-6162
Mailing Address - Country:US
Mailing Address - Phone:817-881-6073
Mailing Address - Fax:
Practice Address - Street 1:5500 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8201
Practice Address - Country:US
Practice Address - Phone:303-797-9454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No305S00000XManaged Care OrganizationsPoint of Service