Provider Demographics
NPI:1528499795
Name:PARSLEY, MATTHEW C (PSYD, LPC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:C
Last Name:PARSLEY
Suffix:
Gender:M
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 WINDSOR ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1341
Mailing Address - Country:US
Mailing Address - Phone:484-678-7473
Mailing Address - Fax:
Practice Address - Street 1:427 WINDSOR ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-1341
Practice Address - Country:US
Practice Address - Phone:484-665-3977
Practice Address - Fax:484-665-3268
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011613101YP2500X
PAPS019023103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional