Provider Demographics
NPI:1316485469
Name:PARKINSON, CHRISTOPHER REX LAIS (PHD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:REX LAIS
Last Name:PARKINSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 CANAL ST
Mailing Address - Street 2:SE LOUSIANA VETERANS HEALTH CARE SYSTEM, ROOM 2M192
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-6535
Mailing Address - Country:US
Mailing Address - Phone:504-210-7403
Mailing Address - Fax:
Practice Address - Street 1:2400 CANAL ST
Practice Address - Street 2:SE LOUISIANA VETERANS HEALTH CARE SYSTEM, ROOM 2M192
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6353
Practice Address - Country:US
Practice Address - Phone:504-210-7403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1401103TB0200X, 103TC0700X, 103TH0004X, 103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging