Provider Demographics
NPI:1720475262
Name:PARISH-BROWN, PENNY KAY
Entity Type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:KAY
Last Name:PARISH-BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 COLLAR PRICE RD.
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-2914
Mailing Address - Country:US
Mailing Address - Phone:330-505-2800
Mailing Address - Fax:
Practice Address - Street 1:1355 COLLAR PRICE RD.
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-2914
Practice Address - Country:US
Practice Address - Phone:330-505-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool