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Provider Information for 1275788358


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THERESA PARRIS LCSW


Other Names:  
Professional Name: 
THERESA PARRIS-PERRY

Sex: Female

NPI: 1275788358
Last Updated: 2008-11-22
Certification Date:

Details

NameValue
NPI1275788358
Enumeration Date2008-11-17
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4353 GUNTHER AVE
BRONX, NY 10466-1807
United States

Phone: 718-231-3237 | Fax:
 
Primary Practice Address 3250 WESTCHESTER AVE
SUITE 108
BRONX, NY 10461-4500
United States

Phone: 718-597-5559 | Fax:718-597-7277
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNY038956