Provider Demographics
NPI:1275765786
Name:PARROZZO, GWEN G (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:GWEN
Middle Name:G
Last Name:PARROZZO
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 1:20123 GREEN ACRES DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-4055
Mailing Address - Country:US
Mailing Address - Phone:985-687-4605
Mailing Address - Fax:
Practice Address - Street 1:20123 GREEN ACRES DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-4055
Practice Address - Country:US
Practice Address - Phone:985-687-4605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4539235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist