Healthcare Provider Details

I. General information

NPI: 1902562655
Provider Name (Legal Business Name): CHRISTINA PIERPAOLI PARKER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA MARIE PIERPAOLI

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 02/01/2024
Certification Date: 11/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 ROCKET WAY FL 2
GARDENDALE AL
35071-4749
US

IV. Provider business mailing address

2216 BROOKDALE LN
VESTAVIA HILLS AL
35216-2102
US

V. Phone/Fax

Practice location:
  • Phone: 205-443-1725
  • Fax:
Mailing address:
  • Phone: 205-207-0374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number2242
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number2242
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2242
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: