Doctor Name: | MRS. CHRISTA JANELL BARNES |
NPI Number: | 1366631095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | TC0363153 |
Business Practice Address: | 1400 Tiger Pride Dr Salem, MO - 655607678 |
Business Phone Number: | 5737296611 |
Business Fax Number: | 5737298493 |
Mailing Address: | 1400 Tiger Pride Dr, SALEM |
State: | MO |
Postal Code: | 655607678 |
Phone Number: | 5737296611 |
Fax Number: | 5737298493 |
NPI Enumeration Date: | 10/18/2007 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TC0363153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |