Doctor Name: | MRS. CATHY HICKINGBOTTOM PARKER |
NPI Number: | 1396864161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, LPC |
License Number: | 3065 |
Business Practice Address: | 103 Davenport Ave. Mer Rouge, LA - 712610445 |
Business Phone Number: | 3186475030 |
Business Fax Number: | 3186475040 |
Mailing Address: | Po Box 445, 103 Davenport Avenue MER ROUGE |
State: | LA |
Postal Code: | 712610445 |
Phone Number: | 3186475030 |
Fax Number: | 3186475040 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3065 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |