Provider Demographics
NPI:1366775561
Name:PARNELL, ALEXIS BROTHERS (MS,SLP)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:BROTHERS
Last Name:PARNELL
Suffix:
Gender:F
Credentials:MS,SLP
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:DANNA
Other - Last Name:BROTHERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2614 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5155
Mailing Address - Country:US
Mailing Address - Phone:318-355-5797
Mailing Address - Fax:
Practice Address - Street 1:2614 N 10TH ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5155
Practice Address - Country:US
Practice Address - Phone:318-355-5797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-07
Last Update Date:2009-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5874235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist