| Doctor Name: | CHAUNCEY ROSS PARKER |
| NPI Number: | 1053536300 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 10075 Levone Ave Truckee, CA - 961614800 |
| Business Phone Number: | 5305827885 |
| Business Fax Number: | |
| Mailing Address: | Po Box 7161, RENO |
| State: | NV |
| Postal Code: | 895107161 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |