Individual
MRS. BLAINE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7716 ELPINE GRAY DR, ARLINGTON, TN 38002-8529
(901) 729-6141
Mailing address
7716 ELPINE GRAY DR, ARLINGTON, TN 38002-8529
(901) 729-6141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1405
NE
235Z00000X
Speech-Language Pathologist
Primary
4568
TN
Other
Enumeration date
03/23/2011
Last updated
04/12/2013
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