MEDICARE: KATHERINE ANN BARCLAY 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	361303-4102	UT

General Provider Information

NPI Number	:	1629187794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ANN BARCLAY CCC-SLP

Provider Business Mailing Address
First Line	:	1350 STUART ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1243
Country	:	US
Telephone Number	:	720-646-0894
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 N LINCOLN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2996
Country	:	US
Telephone Number	:	720-423-3200
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	09/30/2024

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