Angelica Maria Parle-Fresquez, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL61097245 Issued in WA

Practice address

Early Childhood Assessment Center - Lieser School
301 S. Lieser Rd
Vancouver, WA 98664

Phone

(360) 313-4840

NPI assigned

Sep 10, 2020

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Angelica Maria Parle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1285249938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 NW 38TH AVE APT 213",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986075410",
            "telephone_number": "713-305-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EARLY CHILDHOOD ASSESSMENT CENTER - LIESER SCHOOL",
            "address_2": "301 S. LIESER RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-313-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARLE-FRESQUEZ",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103695",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL61097245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "PARLE",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandy Parks, LMP
• Sarah Michele Parks, LMHC, SUDP
• Virginia Elizabeth Parks, DPM
• Parkway Therapies, L.L.C. (Mosaic Rehabilitation)
• Chelsey Parlan, OTR/L
• Mary T Parlee, DDS
• Christina Parlin
• Kelly Lynn Parmelee, LMP NCBTMB
• Lanni Paronto, PSY.D.
• Christianna Maureen Parr, RDH

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.