Healthcare Provider Details

I. General information

NPI: 1780592303
Provider Name (Legal Business Name): MICHELLE BARKEMEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26026 PATRIOTS WAY
GEORGETOWN DE
19947-2584
US

IV. Provider business mailing address

26026 PATRIOTS WAY
GEORGETOWN DE
19947-2584
US

V. Phone/Fax

Practice location:
  • Phone: 302-934-3166
  • Fax:
Mailing address:
  • Phone: 302-934-3166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberO1-0012547
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: