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Individual

DR. RICHARD JACKSON PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
72 FRONT ST, BATH, ME 04530-2657
(207) 443-6180
(207) 443-6180
Mailing address
72 FRONT ST, BATH, ME 04530-2657
(207) 443-6180
(207) 443-6180

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS393
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6806Z040993ME1
ANTHEM BLUE CROSS BLUE SH
ME
Enumeration date
07/31/2006
Last updated
07/09/2007
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