Individual
DR. ELYSE MARTINA PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-3541
Mailing address
510 RICHMOND AVE APT 243, HOUSTON, TX 77006-5578
(702) 324-3357
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
10491
FL
103T00000X
Psychologist
10491
FL
Other
Enumeration date
07/08/2019
Last updated
06/11/2021
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