Individual
MRS. ELIZABETH BREARLEY PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3335 KNOB HILL CT., CHARLOTTE,, NC 28210-6407
(704) 556-7645
(704) 365-9256
Mailing address
3335 KNOB HILL CT., CHARLOTTE,, NC 28210-6407
(704) 556-7645
(704) 365-9256
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0343
NC
103TC0700X
Clinical Psychologist
343
NC
106H00000X
Marriage & Family Therapist
113
NC
106H00000X
Marriage & Family Therapist
133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03158
BCBS
NC
Enumeration date
10/11/2006
Last updated
03/06/2009
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