Joan Ledvina Parr, PH.D.
Individual provider Active NPI Psychologist · Phoenix, MD
NPI 1407319486 · NPPES record last updated Apr 8, 2019
Key facts
- NPI
- 1407319486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 01523 (MD)
- Practice address
- 13 Glenbrook Dr
Phoenix, MD 21131-2007 - Phone
- (410) 666-0480
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01523 | MD | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 01523 | MD | Yes |
Addresses
Primary practice location
13 Glenbrook Dr
Phoenix, MD 21131-2007
Mailing address
13 Glenbrook Dr
Phoenix, MD 21131-2007
Phone (410) 666-0480
Other practice location 1
222 New Ave
Reisterstown, MD 21136-1322
Phone (410) 887-1103
Other providers in Phoenix, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.