Provider Demographics
NPI:1467591230
Name:HISSNER, ANGELA R (MA, CCC-A, F-AAA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:R
Last Name:HISSNER
Suffix:
Gender:F
Credentials:MA, CCC-A, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6647 FRANK AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7259
Mailing Address - Country:US
Mailing Address - Phone:330-494-8348
Mailing Address - Fax:234-236-5699
Practice Address - Street 1:6647 FRANK AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7259
Practice Address - Country:US
Practice Address - Phone:330-494-8348
Practice Address - Fax:234-236-5699
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01305231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist