Individual
ALICE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
526 SUNFLOWER RD, SUNFLOWER, MS 38778-9621
(662) 822-5961
Mailing address
526 SUNFLOWER RD, SUNFLOWER, MS 38778-9621
(662) 822-5961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
S3615
MS
235Z00000X
Speech-Language Pathologist
Primary
SP4023
AR
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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