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General NPI Number Information
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NPI Number | 1114073459
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Entity Type | Organization
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Legal Business Name | PARKER PSYCHOLOGY & COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2755 E KANTZ DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3212
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Country | US
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Telephone | 479-444-8989
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Fax | 479-444-7545
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Provider Business Mailing Address
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Address Line | 1707 N WHEELER AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2633
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Country | US
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Telephone | 479-444-8989
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Fax | 479-444-7545
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. BECKY D. PARKER
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Credential | PH.D.
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Telephone | 479-444-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05-19P
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1960-C
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License Number State | AR
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