Provider Demographics
NPI:1972792547
Name:PARKER, LINDA JOYCE (BA SOCIAL WORK)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JOYCE
Last Name:PARKER
Suffix:
Gender:F
Credentials:BA SOCIAL WORK
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:JOYCE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-2960
Mailing Address - Country:US
Mailing Address - Phone:951-731-3368
Mailing Address - Fax:951-731-3386
Practice Address - Street 1:650 N STATE ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-2960
Practice Address - Country:US
Practice Address - Phone:951-731-3368
Practice Address - Fax:951-731-3386
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker