Provider Demographics
NPI:1730222456
Name:PARSONS, PATRICIA JOYCE (PHD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JOYCE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EDGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07825-9787
Mailing Address - Country:US
Mailing Address - Phone:908-362-1292
Mailing Address - Fax:908-362-1294
Practice Address - Street 1:3 VOSE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2019
Practice Address - Country:US
Practice Address - Phone:973-761-0270
Practice Address - Fax:908-362-1294
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00144100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NWK02166OtherPOSTAL INSPECTION SERVICE
NJ2915201Medicaid
190577OtherMENTAL HEALTH NETWORK
4554947OtherAETNA
6143801OtherUNITED BEHAVIORAL HEALTH
040885OtherVALUE OPTIONS
P0650306Medicare ID - Type Unspecified