Whalio Doctors

NPI 1003944752

Andrew Parker, LCSW

Practitioner Clinical Social Worker South Portland, ME

Practice location

Address
854 Broadway, South Portland, ME 04106-2712
Phone
(207) 776-8146
Fax
(207) 799-2303
Mailing address
117 Osborne Ave, South Portland, ME 04106-4447

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence MC9966 (ME)

Registry record

NPI
1003944752
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Mar 2007
Record last updated
10 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.