Individual
MRS. TYLER PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
12784 JASMINE ST, UNIT C, THORNTON, CO 80602-4652
(334) 414-8193
Mailing address
12784 JASMINE ST, UNIT C, THORNTON, CO 80602-4652
(334) 414-8193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12121431
CO
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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