Alix Parker MCD, CCC-SLP

NPI 1174668982 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1174668982
Gender Female
Enumeration Date 02/20/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2705 SE G ST STE 1
BENTONVILLE AR, 72712-3742, US
Phone (479) 273-2345
Fax (479) 273-9391
Business Location
PO BOX 585
PEA RIDGE AR, 72751-0585, US
Phone (479) 273-2345
Fax (479) 273-9391
Taxonomy Code 235Z00000X
License State Arkansas
License Number SP2216
Remove 1174668982 NPI Number

According to our database, Alix Parker MCD, CCC-SLP NPI is 1174668982, taxonomy code is 235Z00000X and license number is SP2216, license state is located at Arkansas. Alix Parker MCD, CCC-SLP physically located at 2705 Se G St Ste 1, Bentonville AR, 72712-3742. NPI Number Alix Parker MCD, CCC-SLP has the Individual type.

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1174668982 NPI number is provided on an as is basis without warranty of any kind. 1174668982 is maintained by the National Plan & Provider Enumeration System. The contents of Alix Parker MCD, CCC-SLP are for informational purposes only.