Provider Demographics
NPI:1053485334
Name:PARLATO, PATRICIA PIPER SR (MA, SLP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:PIPER
Last Name:PARLATO
Suffix:SR
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 TUXWORTH CIR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5620
Mailing Address - Country:US
Mailing Address - Phone:404-370-0386
Mailing Address - Fax:404-728-9166
Practice Address - Street 1:1244 CLAIRMONT RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1259
Practice Address - Country:US
Practice Address - Phone:404-370-0386
Practice Address - Fax:404-728-9166
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA715235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00564451DMedicaid