Healthcare Provider Details

I. General information

NPI: 1700554466
Provider Name (Legal Business Name): ELIZABETH A PARKER MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 08/30/2021
Certification Date: 08/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 OLD SOLOMONS ISLAND RD STE 303
ANNAPOLIS MD
21401-3870
US

IV. Provider business mailing address

49 OLD SOLOMONS ISLAND RD STE 303
ANNAPOLIS MD
21401-3870
US

V. Phone/Fax

Practice location:
  • Phone: 410-844-8998
  • Fax: 866-251-7548
Mailing address:
  • Phone: 410-844-8998
  • Fax: 866-251-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH ANNE PARKER
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 410-844-8998