MEDICARE: MARY MARGARET PARENTE M.S., 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
1	235Z00000X	Speech-Language Pathologist	015130-1	NY

General Provider Information

NPI Number	:	1184849267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY MARGARET PARENTE M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	5203 BARBEE CHAPEL RD
Second Line	:	APT 2-306
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-6210
Country	:	US
Telephone Number	:	718-810-3594
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 SALEM TOWNE CT
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-2311
Country	:	US
Telephone Number	:	919-387-1818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	12/16/2014

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