Provider Demographics
NPI:1699893677
Name:NORIN, MARK S (MA FAAA)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:S
Last Name:NORIN
Suffix:
Gender:M
Credentials:MA FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 WALDORF DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313
Mailing Address - Country:US
Mailing Address - Phone:330-836-6815
Mailing Address - Fax:330-867-1748
Practice Address - Street 1:2640 W MARKET ST
Practice Address - Street 2:SUITE 303
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4202
Practice Address - Country:US
Practice Address - Phone:330-253-2221
Practice Address - Fax:330-867-1748
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA01160231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0097603Medicaid
OH000000259500OtherANTHEM BCBS PLANS