Provider Demographics
NPI:1538303987
Name:PARSONS, ROBIN L (HIS)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:L
Last Name:PARSONS
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4094 S 150TH RD
Mailing Address - Street 2:
Mailing Address - City:BOLIVAR
Mailing Address - State:MO
Mailing Address - Zip Code:65613-7633
Mailing Address - Country:US
Mailing Address - Phone:417-777-7874
Mailing Address - Fax:
Practice Address - Street 1:530 S ALBANY AVE
Practice Address - Street 2:
Practice Address - City:BOLIVAR
Practice Address - State:MO
Practice Address - Zip Code:65613-2116
Practice Address - Country:US
Practice Address - Phone:417-777-7874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008030510237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist