Individual
JENNIFER PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
757 HIGHLAND SQUARE DR, SHREVEPORT, LA 71107-3201
(318) 425-5003
Mailing address
757 HIGHLAND SQUARE DR, SHREVEPORT, LA 71107-3201
(318) 425-5003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4486
LA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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