Individual
MS. LISA YVONNE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
649 SW 161ST ST, OKLAHOMA CITY, OK 73170-7713
(405) 474-5472
Mailing address
649 SW 161ST ST, OKLAHOMA CITY, OK 73170-7713
(405) 474-5472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3143
OK
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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