Individual
JULIE MARIE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3 GUTHRIE DR, CORNING, NY 14830-3696
(570) 888-5858
(570) 887-2244
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001934
NY
231H00000X
Audiologist
001934-1
NY
231H00000X
Audiologist
AT005930
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267642
—
NY
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU040061
MEDICARE GROUP
PA
01
—
P00199348
RR MEDICARE PIN
PA
01
—
P00324439
RR MEDICARE PIN
NY
Enumeration date
03/16/2006
Last updated
03/04/2021
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