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NPI Code Detail

MEDICARE: MS. KAREN JACKSON PARRISH M.ED. CCC-SLP

MEDICARE: MS. KAREN JACKSON PARRISH M.ED. 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 Pathologist1174NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649318890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN JACKSON PARRISH M.ED. CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 9804
Second Line :
City : GREENSBORO
State : NC
Zip : 27429-0804
Country : US
Telephone Number : 336-541-8167
Fax Number : 336-294-8091
Provider Business Practice Location Address
First Line : 3201 W MARKET ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1455
Country : US
Telephone Number : 336-541-8167
Fax Number : 336-294-8091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 07/25/2013

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