Provider Demographics
NPI:1003780487
Name:JERI PARKER SLP LLC
Entity type:Organization
Organization Name:JERI PARKER SLP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JERI
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:401-903-4153
Mailing Address - Street 1:4605 TUTU PARK MALL STE 133
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2005
Mailing Address - Country:US
Mailing Address - Phone:401-903-4153
Mailing Address - Fax:
Practice Address - Street 1:5316 YACHT HAVEN GRANDE STE 104
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-5027
Practice Address - Country:US
Practice Address - Phone:401-903-4153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech