Healthcare Provider Details

I. General information

NPI: 1083945190
Provider Name (Legal Business Name): VALERIE CELESTE PARSONS M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 FRANCES MEEKS WAY STE 9
RICHMOND HILL GA
31324-3984
US

IV. Provider business mailing address

128 FRANCES MEEKS WAY STE 9
RICHMOND HILL GA
31324-3984
US

V. Phone/Fax

Practice location:
  • Phone: 912-727-2321
  • Fax: 912-445-0599
Mailing address:
  • Phone: 912-727-2321
  • Fax: 912-445-0599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4091
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP007612
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: