Bonnie Jo Parker is a Clinical in Clarkston, Michigan. Bonnie Jo Parker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bonnie Jo Parker is 1073698072. The last update date is 2007-07-08.
Bonnie Jo Parker's current location address is 8864 Big Lake Rd, Clarkston, Michigan. You can contact this provider via phone number 2489229222. The mailing address for Bonnie Jo Parker is 8864 Big Lake Rd, Clarkston, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonnie Jo Parker |
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Address | 8864 Big Lake Rd, Clarkston, Michigan |
Phone Number | 2489229222 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1073698072 |
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Provider Enumeration Date | 2006-10-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 8864 Big Lake Rd |
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City | Clarkston |
State | Michigan (MI) |
Post Code | 483461010 |
Phone Number | 2489229222 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 6301013183 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Bonnie Jo Parker's 1073698072?
The Bonnie Jo Parker's NPI (National Provider Identifier) Number is 1073698072. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bonnie Jo Parker located?
The Bonnie Jo Parker is located at 8864 Big Lake Rd, Clarkston, MI 483461010.
What is the Bonnie Jo Parker's specialty and taxonomy code?
The Bonnie Jo Parker's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073698072 to Bonnie Jo Parker?
The Centers for Medicare & Medicaid Services originally issued the 1073698072 to Bonnie Jo Parker on 2006-10-26.
As of what date were the details related to Bonnie Jo Parker most recently updated or revised?
The information pertaining to Bonnie Jo Parker, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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