Individual
DR. STEPHEN ANTHONY PARKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSYD LP
Contact information
Practice address
2324 UNIVERSITY AVE W, SUITE 100, SAINT PAUL, MN 55114-1843
(612) 343-1625
Mailing address
2324 UNIVERSITY AVE W, SUITE 100, SAINT PAUL, MN 55114-1843
(612) 343-1625
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2149
MN
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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