Individual
MRS. TERI LYNN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
60580 LILAC RD, SOUTH BEND, IN 46614-9780
(574) 274-4160
Mailing address
60580 LILAC RD, SOUTH BEND, IN 46614-9780
(574) 274-4160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001867A
IN
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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