Provider Demographics
NPI:1780788257
Name:HILL, PARRISH LEE (MSCCC-SLP,BRS-FD)
Entity type:Individual
Prefix:MR
First Name:PARRISH
Middle Name:LEE
Last Name:HILL
Suffix:
Gender:M
Credentials:MSCCC-SLP,BRS-FD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10213 CHARLESTON CORNER RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-6012
Mailing Address - Country:US
Mailing Address - Phone:813-855-0581
Mailing Address - Fax:813-855-0581
Practice Address - Street 1:10213 CHARLESTON CORNER RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-6012
Practice Address - Country:US
Practice Address - Phone:813-855-0581
Practice Address - Fax:813-855-0581
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 3036235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist