Provider Demographics
NPI:1932500428
Name:PSYCHOLOGY ASSESSMENT RESOURCE CENTER (PARC)
Entity Type:Organization
Organization Name:PSYCHOLOGY ASSESSMENT RESOURCE CENTER (PARC)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BALJIT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:ATWAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:916-877-7791
Mailing Address - Street 1:5701 LONETREE BLVD STE 123
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-3793
Mailing Address - Country:US
Mailing Address - Phone:916-223-9557
Mailing Address - Fax:916-899-6887
Practice Address - Street 1:5701 LONETREE BLVD STE 123
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-3793
Practice Address - Country:US
Practice Address - Phone:916-223-9557
Practice Address - Fax:916-899-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14699103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty