Provider Demographics
NPI:1902008394
Name:PARKER, ANN NELSON (MED LPC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:NELSON
Last Name:PARKER
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 KATHRYN DRIVE
Mailing Address - Street 2:STE E
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067
Mailing Address - Country:US
Mailing Address - Phone:972-420-0566
Mailing Address - Fax:972-221-3046
Practice Address - Street 1:105 KATHRYN DRIVE
Practice Address - Street 2:STE E
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067
Practice Address - Country:US
Practice Address - Phone:972-420-0566
Practice Address - Fax:972-221-3046
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10901LPC102L00000X
TXMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist