Individual
NICOLE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
1011 LEHMAN AVENUE, SUITE 103, BOWLING GREEN, KY 42103-6515
(270) 393-9833
(270) 393-9835
Mailing address
1011 LEHMAN AVENUE, SUITE 103, BOWLING GREEN, KY 42103-6515
(270) 393-9833
(270) 393-9835
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
285166
KY
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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