Individual
DR. BRENDA CAROL PARKER
Active
Individual
DR. BRENDA CAROL PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
129682
KY
103T00000X
Psychologist
129682
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50109798
PASSPORT GROUP ID
—
05
—
7100315910
—
KY
Enumeration date
02/04/2011
Last updated
07/21/2022
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