Individual
MRS. JOHNNA L PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 489-4444
Mailing address
1795 E LAKE CREEK DR, MERIDIAN, ID 83642-9209
(208) 855-9788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1299
ID
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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