Organization
COMPREHENSIVE NEUROPSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA CAROL PARKER PH.D. (PRESIDENT)
(502) 504-5231
Entity
Organization
Contact information
Practice address
815 JOHN HARPER RD UNIT 13, PIONEER VILLAGE, KY 40165
(502) 504-5231
(502) 504-5205
Mailing address
815 JOHN HARPER RD UNIT 13, PIONEER VILLAGE, KY 40165-7463
(502) 504-5231
(502) 504-5205
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1618
KY
103T00000X
Psychologist
1618
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0022962
PASSPORT
—
Enumeration date
02/04/2011
Last updated
03/21/2019
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