Organization Name: | PARKER PEDIATRIC SPEECH SERVICES, LLS |
NPI Number: | 1124445630 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BLAINE PARKER (OWNER) |
Mailing Address: | 7716 Elpine Gray Dr Arlington |
State: | TN US |
Postal Code: | 380028529 |
Phone Number: | 9017296141 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2014 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |