Provider Demographics
NPI:1285988691
Name:PARKER, REBECCA ANNE (PSYD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANNE
Last Name:PARKER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 EDGEWOOD AVE
Mailing Address - Street 2:FLOOR 3
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1593
Mailing Address - Country:US
Mailing Address - Phone:412-888-9021
Mailing Address - Fax:
Practice Address - Street 1:121 EDGEWOOD AVE
Practice Address - Street 2:FLOOR 3
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1593
Practice Address - Country:US
Practice Address - Phone:412-888-9021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-07
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist