| Doctor Name: | AMY GOODMAN PARMENTIER |
| NPI Number: | 1063509826 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LCSW-C |
| License Number: | 09688 |
| Business Practice Address: | 21351 Gentry Drive Suite 250 Sterling, VA - 20166 |
| Business Phone Number: | 7039948611 |
| Business Fax Number: | 7034219946 |
| Mailing Address: | 21351 Gentry Drive, Suite 250 STERLING |
| State: | VA |
| Postal Code: | 20166 |
| Phone Number: | 7039948611 |
| Fax Number: | 7034219946 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 09688 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |