Individual provider · Type 1 NPI

Broderick Parker, MHPP

Mental Health Counselor · Little Rock, AR

NPI number 1154538932 Active

Practice location

20400 Col. Glenn Rd.
Little Rock, AR 72210-5323

Call (501) 821-5500 Map

Fax (501) 821-7068

Mailing address

20400 Col.glenn Rd.
Little Rock, AR 72210-5323

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist 373H00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1154538932

Broderick Parker, MHPP's National Provider Identifier is 1154538932, issued on May 17, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little Rock, AR. The record was last updated on Sep 13, 2010.