Provider Demographics
NPI:1457356644
Name:PARRISH, DENISE LYNN (AUD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:LYNN
Last Name:PARRISH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 RIVERSIDE DR E
Mailing Address - Street 2:STE 1600
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1022
Mailing Address - Country:US
Mailing Address - Phone:941-745-1518
Mailing Address - Fax:941-745-1343
Practice Address - Street 1:300 RIVERSIDE DR E
Practice Address - Street 2:STE 1600
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1022
Practice Address - Country:US
Practice Address - Phone:941-745-1518
Practice Address - Fax:941-745-1343
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-15
Last Update Date:2007-07-09
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
FLAY033231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS1143OtherBCBS
FL2116622OtherAETNA
FLS1143OtherBCBS
FLS1143AMedicare UPIN