Provider Demographics
NPI:1184480857
Name:PARSONS, MARANDA (HIS)
Entity type:Individual
Prefix:
First Name:MARANDA
Middle Name:
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 1:4214 STATE ROUTE 269 S
Mailing Address - Street 2:
Mailing Address - City:CASTALIA
Mailing Address - State:OH
Mailing Address - Zip Code:44824-9353
Mailing Address - Country:US
Mailing Address - Phone:419-307-9414
Mailing Address - Fax:
Practice Address - Street 1:4816 MILAN RD STE E
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5886
Practice Address - Country:US
Practice Address - Phone:141-962-5911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHIL.03501237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist