Provider Demographics
NPI:1932060696
Name:PARKER, KACHE D
Entity type:Individual
Prefix:
First Name:KACHE
Middle Name:D
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 YENNAR LN APT 2B
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-4659
Mailing Address - Country:US
Mailing Address - Phone:410-804-5189
Mailing Address - Fax:
Practice Address - Street 1:3610 YENNAR LN APT 2B
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-4659
Practice Address - Country:US
Practice Address - Phone:410-804-5189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-21
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily