Provider Demographics
NPI:1881620961
Name:PARR, TREVOR GUNTER (PHD)
Entity type:Individual
Prefix:DR
First Name:TREVOR
Middle Name:GUNTER
Last Name:PARR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1062 WISPERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-2269
Mailing Address - Country:US
Mailing Address - Phone:214-682-2290
Mailing Address - Fax:972-771-1228
Practice Address - Street 1:1062 WISPERWOOD DR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2269
Practice Address - Country:US
Practice Address - Phone:214-682-2290
Practice Address - Fax:972-771-1228
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15797101Y00000X
TX32628103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist