Provider Demographics
NPI:1720543473
Name:PAREKH, ALIFYA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ALIFYA
Middle Name:
Last Name:PAREKH
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5802
Mailing Address - Country:US
Mailing Address - Phone:469-878-0942
Mailing Address - Fax:
Practice Address - Street 1:1900 SHERRY ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4806
Practice Address - Country:US
Practice Address - Phone:682-867-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113755235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist