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NPI Code Detail

MEDICARE: MRS. LESLIE MONA PARRISH

MEDICARE:  MRS. LESLIE MONA PARRISH
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 Pathologist2202006675VA

General Provider Information

NPI Number : 1952118028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESLIE MONA PARRISH
Provider Business Mailing Address
First Line : 5952 LADYSMEADE LN
Second Line :
City : GLOUCESTER
State : VA
Zip : 23061-4433
Country : US
Telephone Number : 215-804-6902
Fax Number :
Provider Business Practice Location Address
First Line : 7358 MAIN ST
Second Line :
City : GLOUCESTER
State : VA
Zip : 23061-5130
Country : US
Telephone Number : 804-650-0787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2024
Last Update Date : 12/12/2024

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Directions to “ MRS. LESLIE MONA PARRISH ” Practice Location

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