Parker, Broderick

Parker, Broderick is an individual health care provider with primary practice located at 20400 Col. Glenn Rd. , Little Rock AR 72210-5323. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Parker, Broderick can be contacted via phone (501) 821-5500.

Contact Information

Primary practice address
20400 Col. Glenn Rd. Little Rock AR 72210-5323
Phone: (501) 821-5500
Fax: (501) 821-7068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1154538932
LBN Legal business name Parker, Broderick
Credentials MHPP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Sep 13th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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