Provider Demographics
NPI:1922421684
Name:PARKER, JULIANNE RUTH
Entity type:Individual
Prefix:MS
First Name:JULIANNE
Middle Name:RUTH
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 1:125 HUNTINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-1226
Mailing Address - Country:US
Mailing Address - Phone:440-564-2282
Mailing Address - Fax:440-564-9690
Practice Address - Street 1:14775 AUBURN RD
Practice Address - Street 2:
Practice Address - City:NEWBURY
Practice Address - State:OH
Practice Address - Zip Code:44065-9702
Practice Address - Country:US
Practice Address - Phone:440-564-2282
Practice Address - Fax:440-564-9690
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.7126235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist