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Individual

DR. BRENDA CAROL PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
815 JOHN HARPER RD UNIT 13, PIONEER VILLAGE, KY 40165-7463
(502) 504-5231
(502) 504-5205
Mailing address
815 JOHN HARPER HIGHWAY, STE 13, PIONEER VILLAGE, KY 40165-7463
(502) 504-5231
(502) 504-5205

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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