Individual
MELISSA ROSE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
531 CAMPUS VIEW ST, GARDEN CITY, KS 67846
(620) 275-0644
(620) 272-0239
Mailing address
PO BOX 477, GARDEN CITY, KS 67846-0477
(620) 275-0644
(620) 272-0239
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1330
KS
103TC0700X
Clinical Psychologist
TLMLP 1185
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200556370A
—
KS
Enumeration date
06/16/2008
Last updated
06/13/2018
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