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NPI Code Detail

MEDICARE: MYRNA LOUISE PARROTT CCC-SLP

MEDICARE: MYRNA LOUISE PARROTT 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 PathologistSP-975AZ
2235Z00000XSpeech-Language PathologistSP-975NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1151557OTHERAZAHCCCS ID

General Provider Information

NPI Number : 1376679217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRNA LOUISE PARROTT CCC-SLP
Provider Business Mailing Address
First Line : 269 LUCKY STAR ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89145-3927
Country : US
Telephone Number : 702-824-8946
Fax Number :
Provider Business Practice Location Address
First Line : 6200 W OAKEY BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-1103
Country : US
Telephone Number : 702-870-5070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 11/15/2008

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Directions to “ MYRNA LOUISE PARROTT CCC-SLP” Practice Location

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