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NPI Code Detail

MEDICARE: DANIELLE PARKER

MEDICARE: DANIELLE PARKER
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1992065809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE PARKER
Provider Business Mailing Address
First Line : 734 10TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-6502
Country : US
Telephone Number : 619-239-4663
Fax Number :
Provider Business Practice Location Address
First Line : 11650 IBERIA PL STE 130
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-2431
Country : US
Telephone Number : 858-264-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2012
Last Update Date : 11/20/2018

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Directions to “ DANIELLE PARKER ” Practice Location

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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.

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