Individual
DR. PHILIP SCOTT PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., HSPP
Contact information
Practice address
8135 BRENT AVE, INDIANAPOLIS, IN 46240-2725
(317) 650-1105
(317) 726-0714
Mailing address
8135 BRENT AVE, INDIANAPOLIS, IN 46240-2725
(317) 650-1105
(317) 726-0714
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041153A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207576
ANTHEM PROVIDER NUMBER
IN
Enumeration date
08/04/2006
Last updated
07/08/2007
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