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Contact Information

KENNETH R PARKER, PhD
919 THE ALAMEDA
BERKELEY, CA94707
 Phone: 510-559-9560
 Fax: 510-778-8673
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KENNETH R PARKER · (Male)

NPI Number 1104089192
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/09/2008
Last updated 10/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY 11829
  • CA License # PSY11829
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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