Provider Demographics
NPI:1841763794
Name:PARKER, THOMA JOLETTE (PHD CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:THOMA
Middle Name:JOLETTE
Last Name:PARKER
Suffix:
Gender:F
Credentials:PHD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 ROSEDALE AVE APT 210
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-2199
Mailing Address - Country:US
Mailing Address - Phone:615-210-4664
Mailing Address - Fax:
Practice Address - Street 1:414 ROSEDALE AVE APT 210
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2199
Practice Address - Country:US
Practice Address - Phone:615-210-4664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3311376G00000X
TN930235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No376G00000XNursing Service Related ProvidersNursing Home Administrator