Provider Demographics
NPI:1740315928
Name:PARSONS, KATHLEEN O'BRIEN (MED)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:O'BRIEN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1057 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17057-2122
Mailing Address - Country:US
Mailing Address - Phone:717-944-4533
Mailing Address - Fax:717-731-7000
Practice Address - Street 1:75 UTLEY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-8000
Practice Address - Country:US
Practice Address - Phone:717-214-8453
Practice Address - Fax:717-731-7000
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006883L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist