Provider Demographics
NPI:1104187228
Name:PARKER, ELEANOR (CFY-SLP)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12410 CANTRELL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-1702
Mailing Address - Country:US
Mailing Address - Phone:501-224-1418
Mailing Address - Fax:501-224-1917
Practice Address - Street 1:12410 CANTRELL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-1702
Practice Address - Country:US
Practice Address - Phone:501-224-1418
Practice Address - Fax:501-224-1917
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#P8499235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist