Individual
ALIX PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0130
Mailing address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 273-2345
(479) 273-9391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2216
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158955721
—
AR
Enumeration date
02/20/2007
Last updated
04/24/2019
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