Individual
KEITH SYKES PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4920 S. AVALON BLVD., LOS ANELES, CA 90011
(213) 607-2010
Mailing address
12022 BIRCH AVE APT 23, HAWTHORNE, CA 90250-3931
(310) 676-2468
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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