Individual
MRS. JEANA KIM PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
14865 W BROADWAY ST, YUKON, OK 73099-8640
(405) 210-7034
(405) 883-6342
Mailing address
14865 W BROADWAY ST, YUKON, OK 73099-8640
(405) 210-7034
(405) 883-6342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2866
OK
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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