Provider Demographics
NPI:1841346210
Name:PARSONS, MARSHA ELLEN (PHD)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:ELLEN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:PARSONS
Other - Last Name:BURDETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:10415 HICKORY PATH WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-0701
Mailing Address - Country:US
Mailing Address - Phone:865-661-2512
Mailing Address - Fax:865-951-2092
Practice Address - Street 1:10415 HICKORY PATH WAY STE 104
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-0701
Practice Address - Country:US
Practice Address - Phone:865-661-2512
Practice Address - Fax:865-951-2092
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP2603103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4091666OtherBCBS