Individual
KERI PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC
Contact information
Practice address
962 RIVER AVE, LAKEWOOD, NJ 08701-5605
(732) 370-8600
Mailing address
126 STATION RD, BAYVILLE, NJ 08721-2123
(732) 691-6221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00858900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T44544327368685
LICENSE
NJ
Enumeration date
06/08/2017
Last updated
11/22/2021
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