| Doctor Name: | MS. MARYPAT PARKER |
| NPI Number: | 1174671408 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP-L |
| License Number: | 7483 |
| Business Practice Address: | 1515 Saint Francis Ave Suite 140 Shakopee, MN - 553793387 |
| Business Phone Number: | 9524032019 |
| Business Fax Number: | 9524033807 |
| Mailing Address: | 2100 Cliff Rd E, Apartment # 322 BURNSVILLE |
| State: | MN |
| Postal Code: | 553371350 |
| Phone Number: | 9527071939 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 7483 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |