Healthcare Provider Details

I. General information

NPI: 1588576672
Provider Name (Legal Business Name): BARBARA JEAN STILLWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 LAS CASITAS DR
SALINAS CA
93905-1200
US

IV. Provider business mailing address

11 LANCASHIRE CIR
SALINAS CA
93906-2195
US

V. Phone/Fax

Practice location:
  • Phone: 831-998-1770
  • Fax:
Mailing address:
  • Phone: 831-998-1770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number16312
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: