Provider Demographics
NPI:1134148752
Name:PARKER, JOSHUA MERRITT (MA)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:MERRITT
Last Name:PARKER
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4201 TORRANCE BLVD
Mailing Address - Street 2:140
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4504
Mailing Address - Country:US
Mailing Address - Phone:310-540-4327
Mailing Address - Fax:310-316-2685
Practice Address - Street 1:4201 TORRANCE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4500
Practice Address - Country:US
Practice Address - Phone:310-540-4327
Practice Address - Fax:310-316-2685
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 3920237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist