| Doctor Name: | ALIX PARKER |
| NPI Number: | 1174668982 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MCD, CCC-SLP |
| License Number: | SP2216 |
| Business Practice Address: | 2705 Se G St Ste 1 Bentonville, AR - 727123742 |
| Business Phone Number: | 4792732345 |
| Business Fax Number: | 4792739391 |
| Mailing Address: | Po Box 585, PEA RIDGE |
| State: | AR |
| Postal Code: | 727510585 |
| Phone Number: | 4792732345 |
| Fax Number: | 4792739391 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP2216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |