Organization
ADULT AND MENTAL HEALTH SERVICES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA EDGAR PARKER NP,PSYD (OWNER/PRESDIENT)
(952) 465-7942
Entity
Organization
Contact information
Practice address
7373 147TH ST W, SUITE 108, APPLE VALLEY, MN 55124-7690
(952) 465-7942
Mailing address
13657 DULUTH DR, APPLE VALLEY, MN 55124-9203
(952) 465-7942
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
927367-2
MN
363LG0600X
Gerontology Nurse Practitioner
927367-2
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
927367-2
MN
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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