MEDICARE: CARRIE PARENTI M.A., C.C.C.

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	619	OK

General Provider Information

NPI Number	:	1740737667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE PARENTI M.A., C.C.C.

Provider Business Mailing Address
First Line	:	1727 S HARVARD AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74112-6825
Country	:	US
Telephone Number	:	918-833-9380
Fax Number	:

Provider Business Practice Location Address
First Line	:	1727 S HARVARD AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74112-6825
Country	:	US
Telephone Number	:	918-833-9380
Fax Number	:

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

Provider Enumeration Date	:	09/08/2016
Last Update Date	:	09/08/2016

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Directions to “ CARRIE PARENTI M.A., C.C.C.” Practice Location

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