Individual
NICOLE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7001 LOISDALE RD, SPRINGFIELD, VA 22150-1904
(571) 271-7308
(949) 863-6813
Mailing address
7001 LOISDALE RD, SPRINGFIELD, VA 22150-1904
(571) 271-7308
(949) 863-6813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001193
VA
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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