MEDICARE: SUSAN LYN PARASCAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1447136635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN LYN PARASCAND

Provider Business Mailing Address
First Line	:	5720 S 77TH ST
Second Line	:
City	:	RALSTON
State	:	NE
Zip	:	68127-4202
Country	:	US
Telephone Number	:	531-200-0563
Fax Number	:

Provider Business Practice Location Address
First Line	:	2403 CIRCLETOWN PL
Second Line	:
City	:	BELLEVUE
State	:	NE
Zip	:	68123-1049
Country	:	US
Telephone Number	:	402-699-8295
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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Directions to “ SUSAN LYN PARASCAND ” Practice Location

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