Healthcare Provider Details

I. General information

NPI: 1699263160
Provider Name (Legal Business Name): DIANNA L HUFFMAN-BARR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 04/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 S HAMILTON RD
GAHANNA OH
43230-2919
US

IV. Provider business mailing address

140 S HAMILTON RD
GAHANNA OH
43230-2919
US

V. Phone/Fax

Practice location:
  • Phone: 614-479-1492
  • Fax:
Mailing address:
  • Phone: 614-479-1492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP.3342
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: