MEDICARE: KRISTEN PARKER M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	123055	TX

General Provider Information

NPI Number	:	1568324101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN PARKER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	228 W NETLEAF CT
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77316-3356
Country	:	US
Telephone Number	:	760-713-7239
Fax Number	:

Provider Business Practice Location Address
First Line	:	670 BEACH AIRPORT RD
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77301-7162
Country	:	US
Telephone Number	:	936-709-4300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ KRISTEN PARKER M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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