Provider Demographics
NPI:1093378341
Name:PARRISH, BIANCA SADE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:SADE
Last Name:PARRISH
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14906 WESTPARK DR APT 431
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-4948
Mailing Address - Country:US
Mailing Address - Phone:434-249-1313
Mailing Address - Fax:
Practice Address - Street 1:14906 WESTPARK DR APT 431
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-4948
Practice Address - Country:US
Practice Address - Phone:434-249-1313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110603235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist