Healthcare Provider Details
I. General information
NPI: 1548068950
Provider Name (Legal Business Name): BARNETT SPEECH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/04/2025
Last Update Date: 03/04/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 SHIRE DR
WELLSVILLE MO
63384-1124
US
IV. Provider business mailing address
2 SHIRE DR
WELLSVILLE MO
63384-1124
US
V. Phone/Fax
- Phone: 636-323-9344
- Fax:
- Phone: 636-323-9344
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
TESSA
BARNETT
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S. CCC-SLP
Phone: 636-323-9344