Provider Demographics
NPI:1588707467
Name:PARMA, YVONNE (MA, LMHC)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:PARMA
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3606
Mailing Address - Country:US
Mailing Address - Phone:781-395-7466
Mailing Address - Fax:
Practice Address - Street 1:397 HIGH ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-3606
Practice Address - Country:US
Practice Address - Phone:781-395-7466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC #319101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0000LM0099OtherBLUE CROSS BLUE SHIELD MA