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NPI Code Detail

MEDICARE: BIANCA SADE PARRISH MA CCC-SLP

MEDICARE:   BIANCA SADE PARRISH  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 Pathologist110603TX

General Provider Information

NPI Number : 1093378341
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA SADE PARRISH MA CCC-SLP
Provider Business Mailing Address
First Line : 14906 WESTPARK DR APT 431
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4948
Country : US
Telephone Number : 434-249-1313
Fax Number :
Provider Business Practice Location Address
First Line : 14906 WESTPARK DR APT 431
Second Line :
City : HOUSTON
State : TX
Zip : 77082-4948
Country : US
Telephone Number : 434-249-1313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2019
Last Update Date : 04/22/2019

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Directions to “ BIANCA SADE PARRISH MA CCC-SLP” Practice Location

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