Individual
CHENNELLE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
468 E 140TH ST, BRONX, NY 10454-2752
(718) 292-2237
Mailing address
468 E 140TH ST, BRONX, NY 10454-2752
(718) 292-2237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
030594
NY
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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