Provider Demographics
NPI:1477764249
Name:PARKER, ALICIA LIANNE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:LIANNE
Last Name:PARKER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:LIANNE
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3244 SAUNDERSVILLE FERRY ROAD
Mailing Address - Street 2:
Mailing Address - City:MT. JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122
Mailing Address - Country:US
Mailing Address - Phone:615-631-5668
Mailing Address - Fax:615-792-0037
Practice Address - Street 1:HILLCREST HEALTHCARE
Practice Address - Street 2:111 PEMBERTON DRIVE
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015
Practice Address - Country:US
Practice Address - Phone:615-792-9154
Practice Address - Fax:615-792-0037
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist