Healthcare Provider Details

I. General information

NPI: 1487577607
Provider Name (Legal Business Name): CARLIE PARSELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 CORPORATE LN
EXPORT PA
15632-8905
US

IV. Provider business mailing address

836 STATE ROUTE 2003
RURAL VALLEY PA
16249-2016
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-8272
  • Fax:
Mailing address:
  • Phone: 724-525-8383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL019382
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: