Individual
DR. WILLIAM BRIAN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1886 CANOE RDG NW, KENNESAW, GA 30152-6209
(770) 324-5787
Mailing address
1886 CANOE RDG NW, KENNESAW, GA 30152-6209
(770) 324-5787
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002636
GA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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