Provider Demographics
NPI:1356543953
Name:PARKER, COURTNEY EVE (MA, MMT)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:EVE
Last Name:PARKER
Suffix:
Gender:F
Credentials:MA, MMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2009 BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1803
Mailing Address - Country:US
Mailing Address - Phone:215-317-7576
Mailing Address - Fax:
Practice Address - Street 1:2009 BUTLER AVE
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-1803
Practice Address - Country:US
Practice Address - Phone:215-317-7576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008094101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health