Provider Demographics
NPI:1790072759
Name:PARSONS, SARAH SUSAN (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:SUSAN
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:MRS
Other - First Name:SALLY
Other - Middle Name:
Other - Last Name:PARSONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:701 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1405
Mailing Address - Country:US
Mailing Address - Phone:317-919-7514
Mailing Address - Fax:
Practice Address - Street 1:701 N STATE ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-1405
Practice Address - Country:US
Practice Address - Phone:317-919-7514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003869A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist