Individual
TINA NICOLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(931) 647-8257
(931) 647-2978
Mailing address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(931) 647-8257
(931) 647-2978
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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