Parham, Penny Shawn
Parham, Penny Shawn is an individual health care provider with primary practice located at 2500 Rike Dr , Pine Bluff AR 71603-3937. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Parham, Penny Shawn can be contacted via phone (870) 534-1834.Contact Information
Primary practice address
2500 Rike Dr
Pine Bluff AR 71603-3937
Phone: (870) 534-1834
Fax: (870) 534-5798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 5178-C | Arkansas |
Profile Details
| NPI number | 1023370970 |
|---|---|
| LBN Legal business name | Parham, Penny Shawn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2012 |
| Last updated | Aug 18th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023370970 | NPPES |
| Arkansas | MEDICAID | 116378726 |
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