Provider Demographics
NPI:1922086735
Name:PARSONS, DAWN (PSYD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:C
Other - Last Name:CLINARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72018-0280
Mailing Address - Country:US
Mailing Address - Phone:501-205-0703
Mailing Address - Fax:501-229-2904
Practice Address - Street 1:16020 SWINGLEY RIDGE RD STE 300
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-2085
Practice Address - Country:US
Practice Address - Phone:636-681-2620
Practice Address - Fax:636-216-1478
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006029914103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116378726Medicaid