Healthcare Provider Details
I. General information
NPI: 1952864225
Provider Name (Legal Business Name): PARRIS PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2019
Last Update Date: 04/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1971 APPALACHIAN HWY
HOKES BLUFF AL
35903-4747
US
IV. Provider business mailing address
1971 APPALACHIAN HWY
HOKES BLUFF AL
35903-4747
US
V. Phone/Fax
- Phone: 205-858-0800
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARION
PARRIS
Title or Position: OWNER
Credential:
Phone: 205-858-0080