Provider Demographics
NPI:1245648146
Name:PARRILLA, SOPHIA JOSEPH (PHD, CLINICAL PSYCH)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:JOSEPH
Last Name:PARRILLA
Suffix:
Gender:F
Credentials:PHD, CLINICAL PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 ANCHOR WAY STE 7
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4692
Mailing Address - Country:US
Mailing Address - Phone:340-719-7007
Mailing Address - Fax:340-719-6655
Practice Address - Street 1:5030 ANCHOR WAY STE 7
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4692
Practice Address - Country:US
Practice Address - Phone:340-719-7007
Practice Address - Fax:340-719-6655
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-24
Last Update Date:2020-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI19-041-PSY103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical