Kenneth Roy Parker in Berkeley - Clinical

Kenneth Roy Parker - NPI 1104089192

Kenneth Roy Parker is a Clinical in Berkeley, California. Kenneth Roy Parker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Roy Parker is 1104089192. The last update date is 2012-10-12.

Kenneth Roy Parker's current location address is 919 The Alameda, Berkeley, California. You can contact this provider via phone number 5105599560 and fax number 5107788673. The mailing address for Kenneth Roy Parker is 919 The Alameda, Berkeley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Roy Parker
Address 919 The Alameda, Berkeley, California
Phone Number 5105599560
Fax Number 5107788673
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1104089192
Provider Enumeration Date 2008-07-09
Last Updated Date 2012-10-12

Provider Mailing Address Detail

Address 919 The Alameda
City Berkeley
State California (CA)
Post Code 947072301
Phone Number 5105599560
Fax Number 5107788673

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY 11829
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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FAQs about Kenneth Roy Parker

What is the unique provider identifier assigned to Kenneth Roy Parker?

The Kenneth Roy Parker has been issued the NPI (National Provider Identifier) 1104089192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kenneth Roy Parker's facilities are geographically located?

The facilities of Kenneth Roy Parker are physically situated at the following location: 919 The Alameda, Berkeley, CA, 947072301.

What is Kenneth Roy Parker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth Roy Parker is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104089192 to Kenneth Roy Parker?

The Centers for Medicare & Medicaid Services assigned the 1104089192 to Kenneth Roy Parker on 2008-07-09.

As of what date were the Kenneth Roy Parker's details last updated?

The information pertaining to the Kenneth Roy Parker, including its address, specialty, and other details, was most recently updated on 2012-10-12.

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