Provider Demographics
NPI:1932758695
Name:ROBERT E PARKER, PHD., A PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:ROBERT E PARKER, PHD., A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-821-7250
Mailing Address - Street 1:56589 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-2221
Mailing Address - Country:US
Mailing Address - Phone:760-821-7250
Mailing Address - Fax:
Practice Address - Street 1:471 E TAHQUITZ CANYON WAY STE 219
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6620
Practice Address - Country:US
Practice Address - Phone:206-824-7275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty