Individual
KEVIN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16703 GOVERNOR BRIDGE RD, APARTMENT 205, BOWIE, MD 20716-3694
(240) 478-1433
Mailing address
16703 GOVERNOR BRIDGE RD, APARTMENT 205, BOWIE, MD 20716-3694
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
DC
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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