Provider Demographics
NPI:1134351109
Name:PARKER, GRETCHEN Z
Entity type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:Z
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 CHASEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-6373
Mailing Address - Country:US
Mailing Address - Phone:512-363-5339
Mailing Address - Fax:
Practice Address - Street 1:555-D ROUND ROCK WEST DR.
Practice Address - Street 2:SUITE 160
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681
Practice Address - Country:US
Practice Address - Phone:512-244-6623
Practice Address - Fax:512-244-7758
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103678235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist