MEDICARE: KATHERINE E BARNETT 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	SLP6833	AZ

General Provider Information

NPI Number	:	1477826832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE E BARNETT CCC-SLP

Provider Business Mailing Address
First Line	:	4750 E UNION HILLS DR
Second Line	:	2031
City	:	PHOENIX
State	:	AZ
Zip	:	85050-3363
Country	:	US
Telephone Number	:	319-541-2564
Fax Number	:

Provider Business Practice Location Address
First Line	:	4750 E UNION HILLS DR
Second Line	:	2031
City	:	PHOENIX
State	:	AZ
Zip	:	85050-3363
Country	:	US
Telephone Number	:	319-541-2564
Fax Number	:

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

Provider Enumeration Date	:	02/16/2012
Last Update Date	:	02/16/2012

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Directions to “ KATHERINE E BARNETT CCC-SLP” Practice Location

Language	Start Address	Practice Location

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