Healthcare Provider Details

I. General information

NPI: 1710744990
Provider Name (Legal Business Name): DR. IRIS PARKINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 CHELSEA RD
ELKINS PARK PA
19027-1054
US

IV. Provider business mailing address

1722 CHELSEA RD
ELKINS PARK PA
19027-1054
US

V. Phone/Fax

Practice location:
  • Phone: 215-284-7055
  • Fax:
Mailing address:
  • Phone: 215-284-7055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC018907
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH006869
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: