Individual
MS. MARYPAT PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP-L
Contact information
Practice address
1515 SAINT FRANCIS AVE, SUITE 140, SHAKOPEE, MN 55379-3387
(952) 403-2019
(952) 403-3807
Mailing address
2100 CLIFF RD E, APARTMENT # 322, BURNSVILLE, MN 55337-1350
(952) 707-1939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7483
MN
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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