Provider Demographics
NPI:1417157918
Name:PARKER, MARIA E (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:PARKER
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13295 SW 72ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-3215
Mailing Address - Country:US
Mailing Address - Phone:305-388-5009
Mailing Address - Fax:
Practice Address - Street 1:13295 SW 72ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-3215
Practice Address - Country:US
Practice Address - Phone:305-388-5009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 4490174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSA 4490OtherSPEECH PATHOLOGIST