Provider Demographics
NPI:1578285995
Name:PARSONS, ALYCEN MARIE (MS, RDN)
Entity Type:Individual
Prefix:MISS
First Name:ALYCEN
Middle Name:MARIE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11691 GUAM CIR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5510
Mailing Address - Country:US
Mailing Address - Phone:805-453-5863
Mailing Address - Fax:
Practice Address - Street 1:11691 GUAM CIR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5510
Practice Address - Country:US
Practice Address - Phone:805-453-5863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered