Individual
MR. BRODERICK PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
20400 COL. GLENN RD., LITTLE ROCK, AR 72210-5323
(501) 821-5500
(501) 821-7068
Mailing address
20400 COL.GLENN RD., LITTLE ROCK, AR 72210-5323
(501) 821-5500
(501) 821-7068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/17/2007
Last updated
09/13/2010
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