Individual
LISA BRYNN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 NE LOOP 410 STE 610, SAN ANTONIO, TX 78216-5866
(180) 043-7756
Mailing address
1517 WILDFLOWER LN, FLOWER MOUND, TX 75028-3825
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
34526
TX
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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