Organization
THE PARKER GROUP, INC.
Active
Organization
THE PARKER GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LANCE PARKER PH.D. (PRESIDENT/LICENSED PSYCHOLOGIST)
(316) 250-8436
Entity
Organization
Contact information
Practice address
112 E 2ND ST, WICHITA, KS 67202-2005
(316) 250-8436
(316) 260-9023
Mailing address
112 E 2ND ST, WICHITA, KS 67202-2005
(316) 250-8436
(316) 260-9023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP-1045
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100370650A
—
KS
Enumeration date
03/15/2010
Last updated
03/15/2010
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