Doctor Name: | DR. FAYTH MARGARET PARKS |
NPI Number: | 1013049881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 783 |
Business Practice Address: | 609 N Kevin Ct Statesboro, GA - 304612742 |
Business Phone Number: | 8033977578 |
Business Fax Number: | |
Mailing Address: | 609 N Kevin Ct, STATESBORO |
State: | GA |
Postal Code: | 304612742 |
Phone Number: | 8033977578 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |