Doctor Name: | MRS. TRACY W BARBER |
NPI Number: | 1407017692 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC |
License Number: | 4592 |
Business Practice Address: | 1015 Bradford Ln Archdale, NC - 272633099 |
Business Phone Number: | 3366870808 |
Business Fax Number: | 3363074001 |
Mailing Address: | Po Box 4504, ARCHDALE |
State: | NC |
Postal Code: | 272634504 |
Phone Number: | 3366870808 |
Fax Number: | 3363074001 |
NPI Enumeration Date: | 06/19/2008 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |