| Doctor Name: | TINA NICOLE PARKER |
| NPI Number: | 1003128521 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 118 Union St Clarksville, TN - 370405115 |
| Business Phone Number: | 9316478257 |
| Business Fax Number: | 9316472978 |
| Mailing Address: | 118 Union St, CLARKSVILLE |
| State: | TN |
| Postal Code: | 370405115 |
| Phone Number: | 9316478257 |
| Fax Number: | 9316472978 |
| NPI Enumeration Date: | 07/13/2010 |
| NPI Last Update Date: | 07/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |