Individual
DR. CORLISS PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
41 WEST 83 STREET, SUITE 1C, NEW YORK, NY 10024
(212) 362-9440
Mailing address
175 WEST 76 STREET, APT. 10E, NEW YORK, NY 10023
(212) 362-9440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6385
LICENSE
NY
Enumeration date
05/01/2007
Last updated
07/08/2007
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