Healthcare Provider Details

I. General information

NPI: 1467608158
Provider Name (Legal Business Name): AMY E PARSONS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2008
Last Update Date: 01/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 BUSH ST SUITE 131F
SAN FRANCISCO CA
94109-5239
US

IV. Provider business mailing address

PO BOX 14278
SAN FRANCISCO CA
94114-0278
US

V. Phone/Fax

Practice location:
  • Phone: 415-884-9983
  • Fax: 415-513-5654
Mailing address:
  • Phone: 415-884-9983
  • Fax: 415-513-5654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY20115
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY20115
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: