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General NPI Number Information
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NPI Number | 1639248826
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Entity Type | Individual
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Provider Name | CATHY PARKER PSYD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 03/13/2018
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Provider Practice Location Address
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Address Line | 45445 PORTOLA AVE STE 2B
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City | PALM DESERT
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State | CA
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Zip | 92260-4844
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Country | US
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Telephone | 707-363-2698
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Fax |
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Provider Business Mailing Address
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Address Line | 1370 TRANCAS ST # 354
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City | NAPA
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State | CA
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Zip | 94558-2912
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Country | US
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Telephone | 707-363-2698
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Fax | 707-259-0827
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PSY21556
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License Number State | CA
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