Individual
MRS. ELLEN K PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCC
Contact information
Practice address
25021 MAMMOTH CIR, LAKE FOREST, CA 92630-2516
(949) 293-1860
Mailing address
25021 MAMMOTH CIR, LAKE FOREST, CA 92630-2516
(949) 293-1860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7039
CA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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