Basic Information
| Provider Information | |||||||||
| NPI: | 1356848485 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VALERIE PARKER, PSY.D., INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1744 ROSWELL RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300623979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7706586406 | ||||||||
| FaxNumber: | 9377753434 | ||||||||
| Practice Location | |||||||||
| Address1: | 1744 ROSWELL RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300623979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7706586406 | ||||||||
| FaxNumber: | 9377753434 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2018 | ||||||||
| LastUpdateDate: | 04/05/2018 | ||||||||
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| AuthorizedOfficialLastName: | BESSES | ||||||||
| AuthorizedOfficialFirstName: | VALERIE | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PSYCHOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 7706586406 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | PSY.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | PSY003219 | GA | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.