Provider Demographics
NPI:1073639662
Name:PARRISH, WILLIAM C JR (MS CCCA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:PARRISH
Suffix:JR
Gender:M
Credentials:MS CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3369
Mailing Address - Street 2:511 PIKE STREET
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26103-3369
Mailing Address - Country:US
Mailing Address - Phone:304-428-3220
Mailing Address - Fax:304-428-7889
Practice Address - Street 1:511 PIKE STREET
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26103-3369
Practice Address - Country:US
Practice Address - Phone:304-428-3220
Practice Address - Fax:304-428-7889
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA0009231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist