Provider Demographics
NPI:1922041532
Name:PARR, DAVID J (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:PARR
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 MAIN ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-1521
Mailing Address - Country:US
Mailing Address - Phone:917-445-4926
Mailing Address - Fax:
Practice Address - Street 1:1456 ROUTE 22
Practice Address - Street 2:SUITE 107
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4348
Practice Address - Country:US
Practice Address - Phone:917-445-4926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014930103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist