Individual
GLENN S PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16001 N 15TH PL, PHOENIX, AZ 85022-3214
(480) 993-7063
Mailing address
16001 N 15TH PL, PHOENIX, AZ 85022-3214
(480) 993-7063
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6347
AZ
Other
Enumeration date
03/02/2010
Last updated
04/20/2022
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