MEDICARE: BETH BREARLEY PARKER, PHD PA

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
1	251S00000X	Community/Behavioral Health Agency	0343	NC

General Provider Information

NPI Number	:	1548403561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETH BREARLEY PARKER, PHD PA

Provider Business Mailing Address
First Line	:	3335 KNOB HILL CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-6407
Country	:	US
Telephone Number	:	704-556-7645
Fax Number	:

Provider Business Practice Location Address
First Line	:	3335 KNOB HILL CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-6407
Country	:	US
Telephone Number	:	704-556-7645
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BETH BREARLEY-PARKER
Credential	:	PH.D.
Telephone Number	:	704-556-7645

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	06/17/2009

Similar Medicare Providers

1164510335 — MRS. ELIZABETH BREARLEY PARKER PH.D.
Practice Location Address:

3335 KNOB HILL CT.
CHARLOTTE, NC
28210-6407

Practice Phone: 704-556-7645
Practice Fax: 704-365-9256

1700155223 — RONICA DENISE FOSTER LCAS
Practice Location Address:

7068 DORN CIR
CHARLOTTE, NC
28212-6407

Practice Phone: 704-519-9561
Practice Fax:

1639886013 — LAMEKA SMALLS
Practice Location Address:

6407 MATLEA CT
CHARLOTTE, NC
28215-5074

Practice Phone: 843-260-3300
Practice Fax:

1568143477 — N PHASES
Practice Location Address:

6407 TYVOLA GLEN CIRCLE STE 235
CHARLOTTE, NC
28217-6436

Practice Phone: 980-745-7588
Practice Fax:

1811853443 — LAURA ROSE FUNCTIONAL NUTRITION
Practice Location Address:

4751 MOUNT ROYAL LN
CHARLOTTE, NC
28210-4690

Practice Phone: 607-743-6253
Practice Fax: 704-259-4120

1336597392 — BRIAN LOUIS MAY M.D.
Practice Location Address:

6700 FAIRVIEW RD # 340
CHARLOTTE, NC
28210-3324

Practice Phone: 704-200-2493
Practice Fax:

Directions to “BETH BREARLEY PARKER, PHD PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.