Individual
MR. CRAIG PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MCD, CCC-SLP
Contact information
Practice address
215 FM 161 S, HUGHES SPRINGS, TX 75656-6993
(903) 639-2561
Mailing address
151 CHARLES AVE, SHREVEPORT, LA 71105-3719
(318) 773-1392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111260
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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