Basic Information
Provider Information
NPI: 1215164967
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARINI
FirstName: SIERRA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: AU.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BROWER
OtherFirstName: SIERRA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: 4460 BLACK AVE
Address2: SUITE F
City: PLEASANTON
State: CA
PostalCode: 945666142
CountryCode: US
TelephoneNumber: 9254843507
FaxNumber: 9254843556
Practice Location
Address1: 4460 BLACK AVE
Address2: SUITE F
City: PLEASANTON
State: CA
PostalCode: 945666142
CountryCode: US
TelephoneNumber: 9254843507
FaxNumber: 9254843556
Other Information
ProviderEnumerationDate: 06/19/2009
LastUpdateDate: 01/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000XAU 2678CAY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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