Provider Demographics
NPI:1437458379
Name:PARKER, BARBARA J
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
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 1:2437 DOUBLETREE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91978-1912
Mailing Address - Country:US
Mailing Address - Phone:619-850-3396
Mailing Address - Fax:
Practice Address - Street 1:565 BROADWAY
Practice Address - Street 2:MIRACLE-EAR CENTER STE A215
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-5307
Practice Address - Country:US
Practice Address - Phone:619-574-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7535237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist