Provider Demographics
NPI:1205892700
Name:PAREKH, PATRICIA CAROLINE (MS)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:CAROLINE
Last Name:PAREKH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9857 SAINT AUGUSTINE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-8821
Mailing Address - Country:US
Mailing Address - Phone:904-880-9001
Mailing Address - Fax:904-880-9007
Practice Address - Street 1:9857 SAINT AUGUSTINE RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8853
Practice Address - Country:US
Practice Address - Phone:904-880-9001
Practice Address - Fax:904-880-9007
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5993235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist