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NPI Code Detail

MEDICARE: MRS. KERRY ANN BARTH CCC-SLP

MEDICARE:  MRS. KERRY ANN BARTH  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
1235Z00000XSpeech-Language Pathologist4473SC

General Provider Information

NPI Number : 1235468844
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KERRY ANN BARTH CCC-SLP
Provider Business Mailing Address
First Line : 3321 DUNBAR LN
Second Line :
City : FORT MILL
State : SC
Zip : 29707-6900
Country : US
Telephone Number : 803-396-5834
Fax Number :
Provider Business Practice Location Address
First Line : 3321 DUNBAR LN
Second Line :
City : FORT MILL
State : SC
Zip : 29707-6900
Country : US
Telephone Number : 803-396-5834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2009
Last Update Date : 12/10/2009

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Directions to “ MRS. KERRY ANN BARTH CCC-SLP” Practice Location

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