Individual
DR. FAYTH MARGARET PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
609 N KEVIN CT, STATESBORO, GA 30461-2742
(803) 397-7578
Mailing address
609 N KEVIN CT, STATESBORO, GA 30461-2742
(803) 397-7578
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
783
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0326
—
SC
Enumeration date
03/09/2007
Last updated
07/09/2007
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