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Individual

DR. CHARLES E PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6505 WISCASSET RD, BETHESDA, MD 20816-2112
(301) 320-3266
(301) 320-7299
Mailing address
5005 RIVER HILL RD, BETHESDA, MD 20816-2239
(301) 320-7288
(301) 320-7299

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01899
MD
103T00000X
Psychologist
PSY 1398
DC
103TC0700X
Clinical Psychologist
0810001175
VA

Other

Enumeration date
12/25/2009
Last updated
12/25/2009
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