Provider Demographics
NPI:1265680680
Name:PARISI, STACY (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:PARISI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ELM ST
Mailing Address - Street 2:DANVERS ATRIUM LOWER LEVEL
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-2824
Mailing Address - Country:US
Mailing Address - Phone:978-777-1122
Mailing Address - Fax:978-777-2007
Practice Address - Street 1:10 ELM ST
Practice Address - Street 2:DANVERS ATRIUM LOWER LEVEL
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-2824
Practice Address - Country:US
Practice Address - Phone:978-777-1122
Practice Address - Fax:978-777-2007
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6075235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist