Individual
NINA L. PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8016 HALSTEAD ST, PHILADELPHIA, PHILADELPHIA, PA 19111-2304
(215) 779-0069
Mailing address
8016 HALSTEAD ST, PHILADELPHIA, PHILADELPHIA, PA 19111-2304
(215) 779-0069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSO16100
PA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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