Basic Information
| Provider Information | |||||||||
| NPI: | 1396066411 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARKER | ||||||||
| FirstName: | RITA | ||||||||
| MiddleName: | KAY | ||||||||
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| Credential: | MHR, LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1017 NW 6TH STREET | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731067202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4058427284 | ||||||||
| FaxNumber: | 4054180324 | ||||||||
| Practice Location | |||||||||
| Address1: | 1017 NW 6TH STREET | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731067202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4058427284 | ||||||||
| FaxNumber: | 4054180324 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2010 | ||||||||
| LastUpdateDate: | 08/09/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 560 | OK | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.