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NPI Code Detail

MEDICARE: MARK A PARRISH M.ED., LMFT

MEDICARE:   MARK A PARRISH  M.ED., LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistKY-0549KY

General Provider Information

NPI Number : 1083780431
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK A PARRISH M.ED., LMFT
Provider Business Mailing Address
First Line : 4229 BARDSTOWN RD
Second Line : #311
City : LOUISVILLE
State : KY
Zip : 40218-3241
Country : US
Telephone Number : 502-499-8010
Fax Number : 502-499-4134
Provider Business Practice Location Address
First Line : 4229 BARDSTOWN RD
Second Line : #311
City : LOUISVILLE
State : KY
Zip : 40218-3241
Country : US
Telephone Number : 502-499-8010
Fax Number : 502-499-4134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 02/12/2020

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Directions to “ MARK A PARRISH M.ED., LMFT” Practice Location

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