Individual
MARK ALLEN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, CCC-A
Contact information
Practice address
736 CAMBRIDGE ST, SMC-8, BRIGHTON, MA 02135-2907
(617) 562-7956
Mailing address
736 CAMBRIDGE ST, SMC-8, BRIGHTON, MA 02135-2907
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
974
MA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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