Provider Demographics
NPI:1174273858
Name:PARKER, CAROLINE RICHELLE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:RICHELLE
Last Name:PARKER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35146-3531
Mailing Address - Country:US
Mailing Address - Phone:205-915-3416
Mailing Address - Fax:
Practice Address - Street 1:315 6TH ST S
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-1828
Practice Address - Country:US
Practice Address - Phone:205-274-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5126235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist