Basic Information
| Provider Information | |||||||||
| NPI: | 1013285196 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARNES | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | CHERISE | ||||||||
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| Credential: | MA-CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9836 SOLAR CRSE | ||||||||
| Address2: | |||||||||
| City: | LAUREL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207235897 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8038472100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 14409 GREENVIEW DR STE 102 | ||||||||
| Address2: | |||||||||
| City: | LAUREL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207084213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014988100 | ||||||||
| FaxNumber: | 3014980009 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2011 | ||||||||
| LastUpdateDate: | 05/04/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 4224 | SC | N | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 235Z00000X | 07452 | MD | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.