Provider Demographics
NPI:1881734663
Name:PARRONE, ELIZABETH ALEXANDRA (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ALEXANDRA
Last Name:PARRONE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88510
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85754-8510
Mailing Address - Country:US
Mailing Address - Phone:602-336-6937
Mailing Address - Fax:602-336-6944
Practice Address - Street 1:1935 W HAYWARD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-6921
Practice Address - Country:US
Practice Address - Phone:602-336-6937
Practice Address - Fax:602-336-6944
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0300235Z00000X
MD01035633235Z00000X
AZ235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ559677Medicaid