Individual
LISA PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
115 LITTLE ST, MANCHESTER, KY 40962-1233
(606) 391-6224
(606) 402-2125
Mailing address
115 LITTLE ST, MANCHESTER, KY 40962-1233
(606) 391-6224
(606) 402-2125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
141466
KY
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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