Individual
CYNTHIA ELAINE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
612 E 17TH ST, VANCOUVER, WA 98663-3428
(360) 904-9398
(360) 368-8747
Mailing address
6400 NE HIGHWAY 99 STE G185, VANCOUVER, WA 98665-8799
(360) 904-9398
(360) 368-8747
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6245063
WA
103TC0700X
Clinical Psychologist
PY60245063
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027677
—
WA
01
—
SWV0179425-02
LABOR AND INDUSTRY
WA
Enumeration date
01/22/2013
Last updated
03/06/2023
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