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NPI Code Detail

MEDICARE: MINA ELIDA PARRISH MS, CCC-SLP

MEDICARE: MINA ELIDA PARRISH MS, 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 Pathologist2218WV

General Provider Information

NPI Number : 1437760329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINA ELIDA PARRISH MS, CCC-SLP
Provider Business Mailing Address
First Line : 20 ROBIN LN
Second Line :
City : MORGANTOWN
State : WV
Zip : 26508-4274
Country : US
Telephone Number : 724-889-7387
Fax Number :
Provider Business Practice Location Address
First Line : 154 E MAIN ST
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-2160
Country : US
Telephone Number : 304-933-3073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2020
Last Update Date : 10/12/2023

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Directions to “ MINA ELIDA PARRISH MS, CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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