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NPI Code Detail

MEDICARE: EVIN PARKER MA, CCC-SLP

MEDICARE: EVIN PARKER MA, 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
1235Z00000XSpeech-Language Pathologist22009309AIN

General Provider Information

NPI Number : 1962328914
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVIN PARKER MA, CCC-SLP
Provider Business Mailing Address
First Line : 4935 HILLEGAS RD STE 200
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-1943
Country : US
Telephone Number : 260-338-1241
Fax Number :
Provider Business Practice Location Address
First Line : 4935 HILLEGAS RD STE 200
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-1943
Country : US
Telephone Number : 260-338-1241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ EVIN PARKER MA, CCC-SLP” Practice Location

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