MEDICARE: KATELYN BARTON CCC-SLP

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	235Z00000X	Speech-Language Pathologist	2204000749	VA
2	235Z00000X	Speech-Language Pathologist	2202010574	VA

General Provider Information

NPI Number	:	1013684133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN BARTON CCC-SLP

Provider Business Mailing Address
First Line	:	201 MUSE FIELD RD
Second Line	:
City	:	ROCKY MOUNT
State	:	VA
Zip	:	24151-5796
Country	:	US
Telephone Number	:	540-798-3111
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 OVERDALE RD
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-4438
Country	:	US
Telephone Number	:	540-772-7556
Fax Number	:

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

Provider Enumeration Date	:	08/26/2021
Last Update Date	:	08/10/2023

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Directions to “ KATELYN BARTON CCC-SLP” Practice Location

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