Provider Demographics
NPI:1821259276
Name:MARYPARKER & ASSOCIATES
Entity Type:Organization
Organization Name:MARYPARKER & ASSOCIATES
Other - Org Name:MARY PARKER
Other - Org Type:Other Name
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:505-453-0101
Mailing Address - Street 1:5036 JUSTIN DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-4313
Mailing Address - Country:US
Mailing Address - Phone:505-453-0101
Mailing Address - Fax:800-861-9108
Practice Address - Street 1:5036 JUSTIN DR NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4313
Practice Address - Country:US
Practice Address - Phone:505-453-0101
Practice Address - Fax:800-861-9108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health