Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH3021949 | OH |
NPI | 1003216433 |
---|---|
Provider Name | Liesel Parsons |
First Address | Columbus, OH 43211-1034 |
Second Address | Columbus, OH 43211-1034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2014 |
Last Update Date | 04/09/2014 |