Individual
MISS DELANA MARIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-3315
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-3315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
38421
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2012
Last updated
08/12/2020
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