Individual
MRS. NICOLE T. PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9160 W 106TH AVE, SAINT JOHN, IN 46373-7400
(773) 627-4326
Mailing address
9160 W 106TH AVE, SAINT JOHN, IN 46373-7400
(773) 627-4326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007126A
IN
Other
Enumeration date
03/06/2018
Last updated
04/13/2020
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