Provider Demographics
NPI:1053603985
Name:PARNES, ETTY (MA SLP)
Entity type:Individual
Prefix:MS
First Name:ETTY
Middle Name:
Last Name:PARNES
Suffix:
Gender:F
Credentials:MA SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 SANZTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3273
Mailing Address - Country:US
Mailing Address - Phone:732-363-4075
Mailing Address - Fax:
Practice Address - Street 1:91 SANZTOWN RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3273
Practice Address - Country:US
Practice Address - Phone:732-363-4075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTL-2243235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist